Kristina Marie Lorenzo Villaruz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

49468 Issued in CA

Practice address

2200 E Maple Ave
El Segundo, CA 90245-6507

Phone

(310) 316-6190

NPI assigned

Sep 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kristina.villanzpta.p1@direct.bpasten.nextgenshare.com

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1982186029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17435 SARITA AVE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873590",
            "telephone_number": "661-993-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E MAPLE AVE",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902456507",
            "telephone_number": "310-316-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARUZ",
        "first_name": "KRISTINA MARIE",
        "middle_name": "LORENZO",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "49468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilda Veronica Villanueva, PHARMD
• Ian Villanueva
• Bryana Villarreal
• Danniella Villarreal
• Monserate Villarreal
• Jesus Villasenor
• Gabriella Villegas
• Stephanie Villegas
• Nicholas Villongco
• Stephannia Vinasco

• Physical Therapy Assistant in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.