Organization Active NPI

Kara Villareal MD PC

  • Trauma Surgery Physician
  • Glendale, AZ
National Provider Identifier
1790803260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
KARA VILLAREAL MD PC
Practice address
17250 N 43Rd Ave
Glendale, AZ 85308-4035
Phone
(602) 643-0070
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kara Villareal, MD
Title
Owner
Phone
(602) 643-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X NU Primary

Addresses

Primary practice location

17250 N 43Rd Ave
Glendale, AZ 85308-4035

Mailing address

17250 N 43Rd Ave
Glendale, AZ 85308-4035
Phone (602) 643-0070

National Provider Directory

National Provider Directory

Locations

17250 N 43rd Ave
Glendale, AZ 85308
Phone (602) 643-0070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790803260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 N 43RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084035",
            "telephone_number": "602-643-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 N 43RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084035",
            "telephone_number": "602-643-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA VILLAREAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLAREAL",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-643-0070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.