EDUARDO G. VILLASENOR (NPI# 1073691804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073691804 |
| Entity Type | Individual |
| Full Name | EDUARDO G. VILLASENOR |
| Credential | MD |
| Practice Address |
1721 W Yosemite Ave Manteca CA 95337-5130 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 2094762000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A78762 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A787620 | 05 |
| Street Address |
1721 W YOSEMITE AVE |
| City | MANTECA |
| State | CA |
| Zip Code | 95337-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283700 | Elizabeth Ann Cliburn | Family Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2005-11-26 |
| 1215543202 | Gilberto Rodriguez | Respiratory Therapist, Registered | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2020-09-16 |
| 1649891755 | Athena Bechere | Dietitian, Registered | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2020-04-29 |
| 1841854189 | Kenzi Ellen Mather | Physical Therapist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-04-23 |
| 1114498789 | Lisa Michelle Gitthens Moses | Internal Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2018-12-07 |
| 1578030953 | Edmon Artinyan | Psychologist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2018-10-24 |
| 1902311756 | Lily Victoria Kadosh | Psychologist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2017-12-01 |
| 1205361474 | Kyle K Kato | Pharmacist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2017-04-26 |
| 1205361896 | Jeffrey Meath | Pharmacist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2017-04-21 |
| 1104350743 | Shama Afzal | Pharmacist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2017-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640485 | Shanitta D Hines | Counselor | Victor Community Support Services, 302 Cherry Lane, CA 95337 | 2020-08-19 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1225430655 | Elizabeth Julia Ann Tyner | Hearing Instrument Specialist | 1079 Eucalyptus, Suite B, Manteca, CA 95337 | 2014-09-17 |
| 1134565740 | Aegis Treatment Centers, LLC | Clinic/Center | 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 | 2013-05-22 |
| 1053668947 | Roger Cabo Inciong | Physical Therapist | 3652 Rapallo Way, Manteca, CA 95337 | 2012-08-09 |
| 1295997757 | Costco Wholesale Corporation | Pharmacy | 2440 Daniels St, Manteca, CA 95337 | 2008-06-26 |
| 1255474235 | Carmen Catherine Nunes | Marriage & Family Therapist | 1771 Yosemite Ave., Manteca, CA 95337 | 2007-02-15 |
| 1063577062 | Kathy Laverne Barron | Counselor | 1789 W. Yosemite Ave., Sierra Building, 1st Floor, Manteca, CA 95337 | 2006-12-27 |
| 1891853149 | R. Ciccarelli, Dds., R. Joseph, Dds., M. El Farra, Dds., D. Saini, Dds | Dentist | 1507 W. Yosemite, Manteca, CA 95337 | 2006-12-05 |
| 1467528265 | Annie Mathew | Pharmacist | 1777 West Yosemite Ave, Manteca, CA 95337 | 2006-11-27 |
| Find all providers in zip 95337 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427539287 | Mohammad Haghdoost Md Medical Corporation | Surgery | 1144 Norman Dr Ste 240, Manteca, CA 95336-5925 | 2018-08-28 |
| 1841308830 | Bao-lan Raikar | Surgery | 1144 Norman Dr Ste 203b, Manteca, CA 95336 | 2006-08-29 |
| 1689787442 | Jerry W Weiner | Surgery | 1206 E North St, Manteca, CA 95336 | 2006-08-16 |
| 1477530236 | Yong L Shih | Surgery | 1234 E North St, Suite 105, Manteca, CA 95336-4960 | 2005-12-22 |
| 1710291570 | Mohammad Haghdoost | Surgery | 1144 Norman Dr, Suite 203b, Manteca, CA 95336-5925 | 2010-08-03 |
| 1487732293 | Thomas O. Field | Surgery | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1427136241 | Jon Uota | Surgery | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1699853507 | Anita R. Gambhir | Surgery | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344321 | Sadeghi Medical Corporation | Surgery | 3871 Piedmont Ave # 105, Oakland, CA 94611-5378 | 2020-10-21 |
| 1295332823 | Vneo Medical Clinic Inc | Surgery | 6817 1/2 Kester Ave, Van Nuys, CA 91405-3716 | 2020-10-06 |
| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EDUARDO G. VILLASENOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.