Active NPI
Ramon Barachina Villegas III, O.D.
- Optometrist
- Cerritos, CA
National Provider Identifier
1902813470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 11011 TPA
- Practice address
- 19151 Bloomfield Ave
Cerritos, CA 90703-7104 - Phone
- (562) 567-7646
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 11011 TPA | CA | Primary |
Addresses
Primary practice location
19151 Bloomfield Ave
Cerritos, CA 90703-7104
Mailing address
12455 Cedarcreek LN
Cerritos, CA 90703-2028
Phone (562) 567-7646
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 11011 TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Optometry Group Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Phoenix Optometry Group Inc's eyepad
- Optometrist
- Cerritos, CA
- NPI 1700121613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1902813470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12455 CEDARCREEK LN",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032028",
"telephone_number": "562-567-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19151 BLOOMFIELD AVE",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907037104",
"telephone_number": "562-567-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS",
"first_name": "RAMON",
"middle_name": "BARACHINA",
"name_suffix": "III",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 11011 TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.