Fernando J. Villarroel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44377 Issued in CA

Practice address

2010 N Riverside Ave
Suite a
Rialto, CA 92377-4600

Phone

(909) 421-1555

Fax

(909) 421-1865

NPI assigned

Dec 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• DRS Villarroel & Villarroel DDS Inc

  • Dentist
  • Rialto, CA
  • NPI 1861771271
  NPD (past) Authorized official
• Rancho Dental Office

  • Dental Clinic/Center
  • Rialto, CA
  • NPI 1750576096
  NPD (past) Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912069899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N RIVERSIDE AVE",
            "address_2": "SUITE A",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774600",
            "telephone_number": "909-421-1555",
            "fax_number": "909-421-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N RIVERSIDE AVE",
            "address_2": "SUITE A",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774600",
            "telephone_number": "909-421-1555",
            "fax_number": "909-421-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARROEL",
        "first_name": "FERNANDO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "44377",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josue Vieyra
• Claudia N Villa
• Trinity Isabel Villa
• Anthony Moses Villalobos
• Jorge Luis Villalvazo
• Mary Villavicencio
• Nathan Alexander Villegas
• Vista Cove Care Center at Rialto, Inc. (Vista Cove Care Center at Rialto)
• Vista Pharmacies Inc (Rialto Vista Pharmacy)
• Vital Route LLC

• General Practice Dentistry in Rialto, CA
• Providers in Rialto, 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.