NPIMap

Organization Active NPI

FCC Oakdale

  • Prison Health Clinic/Center
  • Oakdale, LA
National Provider Identifier
1811126550
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
License
A80985 Issued in CA
Legal business name
FCC OAKDALE
Practice address
5050 East Whatley Road
Oakdale, LA 71463-5050
Phone
(318) 335-4466
Fax
(318) 215-2135
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Dr. Salvadore Villalon, M.D.
Title
Clinical Director
Phone
(318) 335-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X A80985 CA Primary

Addresses

Primary practice location

5050 East Whatley Road
Oakdale, LA 71463-5050

Mailing address

PO Box 5050
5050 East Whatley Road
Oakdale, LA 71463-5050
Phone (318) 335-4466

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1811126550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5050",
            "address_2": "5050 EAST WHATLEY ROAD",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714635050",
            "telephone_number": "318-335-4466",
            "fax_number": "318-215-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 EAST WHATLEY ROAD",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714635050",
            "telephone_number": "318-335-4466",
            "fax_number": "318-215-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCC OAKDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "VILLALON",
        "authorized_official_first_name": "SALVADORE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "318-335-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "CA",
            "license": "A80985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.