Active NPI
Tai Ann B Villaruz, OTR/L
- Occupational Therapist
- Bakersfield, CA
National Provider Identifier
1821799479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 24413
- Practice address
- 5151 Knudsen Dr
Bakersfield, CA 93308-7199 - Phone
- (661) 325-9900
- NPI assigned
- Mar 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 24413 | CA | Primary |
Addresses
Primary practice location
5151 Knudsen Dr
Bakersfield, CA 93308-7199
Mailing address
2012 Rainbow St
Delano, CA 93215-4718
Phone (661) 586-9771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24413 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1821799479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 RAINBOW ST",
"city": "DELANO",
"state": "CA",
"postal_code": "932154718",
"telephone_number": "661-586-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 KNUDSEN DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933087199",
"telephone_number": "661-325-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARUZ",
"first_name": "TAI ANN",
"middle_name": "B",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "24413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.