Individual provider Active NPI

Clifford R Villaflor Sr.

  • Vehicle Modifications Contractor
  • Walnut, CA
National Provider Identifier
1972129658
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vehicle Modifications ContractorTaxonomy code 171WV0202X
Practice address
18800 Amar Rd Ste B16
Walnut, CA 91789-7101
Phone
(626) 272-2754
Fax
(626) 236-4146
NPI assigned
Jun 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vehicle Modifications Contractor 171WV0202X Primary

Addresses

Primary practice location

18800 Amar Rd Ste B16
Walnut, CA 91789-7101

Mailing address

18800 Amar Rd Ste B16
Walnut, CA 91789-7101
Phone (626) 272-2754

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ie Hospice Services ,LLC Current 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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1972129658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 AMAR RD STE B16",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917897101",
            "telephone_number": "626-272-2754",
            "fax_number": "626-236-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 AMAR RD STE B16",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917897101",
            "telephone_number": "626-272-2754",
            "fax_number": "626-236-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFLOR",
        "first_name": "CLIFFORD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.