Individual provider Active NPI

Kathryn Loree Villarreal, P.A.

  • Physician Assistant
  • Fresno, CA
National Provider Identifier
1851517023
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18758 Issued in CA
Practice address
7014 N Whitney Ave
Fresno, CA 93720-0155
Phone
(559) 321-2800
Fax
(559) 321-2780
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18758 CA Primary

Addresses

Primary practice location

7014 N Whitney Ave
Fresno, CA 93720-0155

Mailing address

7014 N Whitney Ave
Fresno, CA 93720-0155
Phone (559) 321-2800

Other identifiers 1

IdentifierTypeStateIssuer
P00794487OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080103000335 CA Practitioner - Physician Assistant 2860572864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7014 N Whitney Ave
Fresno, CA 93720-0155
Phone (559) 321-2800

Merit-based Incentive Payment System (MIPS)

Final score
82.33 of 100Reported as group
Quality
70.87
Promoting interoperability
100
Improvement activities
40
Cost
70.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18758CAMDPhysician Assistant
18758CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MMC Emergency Physicians Medical Group, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1851517023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 N WHITNEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200155",
            "telephone_number": "559-321-2800",
            "fax_number": "559-321-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 N WHITNEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200155",
            "telephone_number": "559-321-2800",
            "fax_number": "559-321-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "KATHRYN",
        "middle_name": "LOREE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00794487",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.