Lucille Goulart Villalobos, MASTERS HEALTH ADMIN

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

670 Placerville Dr Ste 1B
2813 Debbie Lane (Optional)
Placerville, CA 95667-4200

Phone

(530) 621-6244

Fax

(530) 295-2565

NPI assigned

Mar 8, 2011

Sex

Female

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1871891341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PLACERVILLE DR STE 1B",
            "address_2": "2813 DEBBIE LANE (OPTIONAL)",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674200",
            "telephone_number": "530-621-6244",
            "fax_number": "530-295-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PLACERVILLE DR STE 1B",
            "address_2": "2813 DEBBIE LANE (OPTIONAL)",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674200",
            "telephone_number": "530-621-6244",
            "fax_number": "530-295-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "LUCILLE",
        "middle_name": "GOULART",
        "name_prefix": "Mrs.",
        "credential": "MASTERS HEALTH ADMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Lyn David Velasco, RPH
• Veronica Velasquez-Morfin, M.D.
• Vera Dooley, D.D.S., Inc.
• Lise Ann Vernasco, L.AC., DIPL.O.M.
• Victor R Sucheski DPM
• Joy E. Von Astel
• Maria Elena Vongortler
• Dennis Wade, MS, SUDCC IV-CS
• Bonnie Lynne Wagner, LCSW
• Rheanna Waisner

• Community Health Worker in Placerville, CA
• Providers in Placerville, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.