Jorge Villarreal, LSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

2425 Shaftsbury Dr
Corpus Christi, TX 78415-4483

Phone

(361) 459-9680

NPI assigned

Nov 1, 2009

Last updated

Oct 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Vein Harvesters & Staffing L.L.C

  • Surgical Physician Assistant
  • Corpus Christi, TX
  • NPI 1306518600

  Surgical Assistant

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1720314362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 SHAFTSBURY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154483",
            "telephone_number": "361-459-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SHAFTSBURY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154483",
            "telephone_number": "361-459-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "JORGE",
        "name_prefix": "Mr.",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-01",
        "last_updated": "2021-10-13",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00550",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arturo Villarreal Jr.
• Breannon Villarreal, OTR
• Elizabeth Lopez Villarreal, FNP-C
• Jesusa Marie Villarreal
• John Gilbert Villarreal, M.A.
• Juan A Villarreal, MD
• Lisette Villarreal, NP
• Lydia Jean Villarreal, RPH
• Megan Villarreal
• Micaela Villarreal, SLP

• Surgical Physician Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.