Individual provider Active NPI

Fe Teniente Villaflor

  • Driver
  • Carson, CA
National Provider Identifier
1922263193
Registry record updated Jul 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
MTN01096F Issued in CA
Practice address
1123 E Dominguez St
BLDG. B & C
Carson, CA 90746-3567
Phone
(310) 763-4998
NPI assigned
Jul 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X MTN01096F CA Primary

Addresses

Primary practice location

1123 E Dominguez St
BLDG. B & C
Carson, CA 90746-3567

Mailing address

732 View LN
Diamond Bar, CA 91765-1896
Phone (909) 957-8868

Other identifiers 1

IdentifierTypeStateIssuer
MTN01096FOtherCANON EMERGENCY TRANSPORTATION/ WHEELCHAIR VAN

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MTN01096FCAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Our House Transportation 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.

NPI Registry JSON

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

{
    "created_epoch": "1217116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217116800000",
    "number": "1922263193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 VIEW LN",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651896",
            "telephone_number": "909-957-8868",
            "fax_number": "909-895-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 E DOMINGUEZ ST",
            "address_2": "BLDG. B & C",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463567",
            "telephone_number": "310-763-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFLOR",
        "first_name": "FE",
        "middle_name": "TENIENTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-27",
        "last_updated": "2008-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "MTN01096F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON EMERGENCY TRANSPORTATION/ WHEELCHAIR VAN",
            "identifier": "MTN01096F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2008; 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.