Active NPI
Beatriz Villa, P.A.
- Physician Assistant
- Riverside, CA
National Provider Identifier
1922198399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15430
- Practice address
- 3975 Jackson St Ste 207
Riverside, CA 92503-3948 - Phone
- (951) 352-2092
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15430 | CA | Primary |
Addresses
Primary practice location
3975 Jackson St Ste 207
Riverside, CA 92503-3948
Mailing address
3975 Jackson St Ste 207
Riverside, CA 92503-3948
Phone (951) 352-2092
Other names 1
- Beatriz Hammond
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15430 | CA | MD | Optometrist |
| PA15430 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1922198399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3975 JACKSON ST STE 207",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033948",
"telephone_number": "951-352-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 JACKSON ST STE 207",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033948",
"telephone_number": "951-352-2092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLA",
"first_name": "BEATRIZ",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA15430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BEATRIZ",
"last_name": "HAMMOND",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.