Bernardino B Villadiego, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38145 Issued in CA

Practice address

20933 Devonshire St
Suite 103
Chatsworth, CA 91311-2369

Phone

(818) 341-1345

Fax

(818) 341-6427

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861611071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11438 IVERSON RD",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111255",
            "telephone_number": "818-717-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20933 DEVONSHIRE ST",
            "address_2": "SUITE 103",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112369",
            "telephone_number": "818-341-1345",
            "fax_number": "818-341-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLADIEGO",
        "first_name": "BERNARDINO",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Velazquez
• Shaland Jean Verdi, LACTATION CONSULTANT
• Verdugo Valley Convalescent Hospital
• Verio Healthcare, Inc
• Vikram Mishra,DDS.,DC
• Annaval Dacanay Villafuerte, PT
• Eulogia Ananiah Villafuerte
• Allan Villarasa, LVN
• Laura Janeth Villarreal, FNP
• Orlando Miguel Villazevallos

• General Practice Dentistry in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.