Organization Active NPI

Paulino a Villatoro, MD PC

Doing business as Villatoro Medical Group

  • General Practice Physician
  • Pomona, CA
National Provider Identifier
1922291228
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A52491 Issued in CA
Legal business name
PAULINO A VILLATORO, MD PC
Doing business as
Villatoro Medical Group
Practice address
1532 San Bernardino Ave
Suite A2
Pomona, CA 91767-3559
Phone
(909) 624-0392
Fax
(909) 624-0984
NPI assigned
Aug 21, 2007
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Paulino Antonio Villatoro, M.D.
Title
President/Owner
Phone
(909) 624-0392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A52491 CA Primary

Addresses

Primary practice location

1532 San Bernardino Ave
Suite A2
Pomona, CA 91767-3559

Mailing address

1532 E San Bernardino Ave
Suite A2
Pomona, CA 91767-3559
Phone (909) 624-0392

Other identifiers 1

IdentifierTypeStateIssuer
00A524911MedicaidCA

Other names 1

  • VILLATORO MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

1532 San Bernardino Ave
Ste A2
Pomona, CA 91767
Phone (909) 623-2300

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1922291228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 E SAN BERNARDINO AVE",
            "address_2": "SUITE A2",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673559",
            "telephone_number": "909-624-0392",
            "fax_number": "909-624-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SAN BERNARDINO AVE",
            "address_2": "SUITE A2",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673559",
            "telephone_number": "909-624-0392",
            "fax_number": "909-624-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINO A VILLATORO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "VILLATORO",
        "authorized_official_first_name": "PAULINO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "909-624-0392",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A52491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A524911",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLATORO MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.