Individual provider Active NPI

Jose D Villarica I, M.D.

  • Specialist
  • Folsom, CA
National Provider Identifier
1841376670
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A232270 Issued in CA
Practice address
834 Willow Creek Dr
Folsom, CA 95630-5246
Phone
(916) 208-8114
Fax
(916) 357-5420
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A232270 CA Primary

Addresses

Primary practice location

834 Willow Creek Dr
Folsom, CA 95630-5246

Mailing address

834 Willow Creek Dr
Folsom, CA 95630-5246
Phone (916) 208-8114

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A232270CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1841376670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 WILLOW CREEK DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956305246",
            "telephone_number": "916-208-8114",
            "fax_number": "916-357-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 WILLOW CREEK DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956305246",
            "telephone_number": "916-208-8114",
            "fax_number": "916-357-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARICA",
        "first_name": "JOSE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A232270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.