Individual provider Active NPI

Ronald J Villemaire, M.D.

  • Family Medicine Physician
  • Monterey, CA
National Provider Identifier
1922103118
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C43371 Issued in CA
Practice address
245 Washington St
Monterey, CA 93940-2409
Phone
(831) 372-2273
Fax
(831) 372-5840
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C43371 CA Primary

Addresses

Primary practice location

245 Washington St
Monterey, CA 93940-2409

Mailing address

6 Sommerset Vale
Monterey, CA 93940-4113
Phone (831) 644-9830

Other identifiers 5

IdentifierTypeStateIssuer
00C433710OtherCA1B
00C433710OtherCA1H
770471127OtherCA24
00C433710OtherCA1A
C43371OtherCA0B

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081031000001 CA Practitioner - Family Practice 7618036906 Practice locations: Carmel, CA; Monterey, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43371CAMDMarriage & Family Therapist
C43371CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roxana Shahnavaz DDS Inc, PastSince Feb 23, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1922103118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SOMMERSET VALE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404113",
            "telephone_number": "831-644-9830",
            "fax_number": "831-372-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WASHINGTON ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402409",
            "telephone_number": "831-372-2273",
            "fax_number": "831-372-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEMAIRE",
        "first_name": "RONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C43371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1B",
            "identifier": "00C433710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1H",
            "identifier": "00C433710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "24",
            "identifier": "770471127",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1A",
            "identifier": "00C433710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0B",
            "identifier": "C43371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.