Organization Active NPI

Peter J Villalpando

  • Prosthetic/Orthotic Supplier
  • San Ramon, CA
National Provider Identifier
1992891998
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PETER J VILLALPANDO
Practice address
2570 San Ramon Valley Blvd
Suite A105
San Ramon, CA 94583-1637
Phone
(925) 867-9500
Fax
(925) 867-9559
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Mr. Peter J Villalpando, CO
Title
Pres.
Phone
(925) 952-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2570 San Ramon Valley Blvd
Suite A105
San Ramon, CA 94583-1637

Mailing address

2570 San Ramon Valley Blvd
Suite A105
San Ramon, CA 94583-1637
Phone (925) 867-9500

Other identifiers 1

IdentifierTypeStateIssuer
XA0035920MedicaidCA

Other names 1

  • Ortho Innovations Doing business as

National Provider Directory

National Provider Directory

Locations

2570 San Ramon Valley Blvd
Ste A105
San Ramon, CA 94583
Phone (925) 867-9500

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1992891998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE A105",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831637",
            "telephone_number": "925-867-9500",
            "fax_number": "925-867-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE A105",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831637",
            "telephone_number": "925-867-9500",
            "fax_number": "925-867-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J VILLALPANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "VILLALPANDO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "925-952-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XA0035920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortho Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.