Rodrey Anne Mozako-Villa

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11809 Issued in CA

Practice address

451 West Gonzalez Road
Suite 260
Oxnard, CA 93036-0729

Phone

(805) 983-3557

Fax

(805) 983-2337

NPI assigned

Mar 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1780909044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 WEST GONZALEZ ROAD",
            "address_2": "SUITE 260",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360729",
            "telephone_number": "805-983-3557",
            "fax_number": "805-983-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 WEST GONZALEZ ROAD",
            "address_2": "SUITE 260",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360729",
            "telephone_number": "805-983-3557",
            "fax_number": "805-983-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZAKO-VILLA",
        "first_name": "RODREY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "11809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.