Active NPI
Fe Teniente Villaflor
- Driver
- Carson, CA
National Provider Identifier
1922263193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- MTN01096F
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN01096F | Other | CA | NON 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
| License | State | Type | Specialty |
|---|---|---|---|
| MTN01096F | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Land Ambulance
- Carson, CA
- NPI 1255576807
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.