GEORGE VILLARRUEL (NPI# 1164718235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164718235 |
| Entity Type | Individual |
| Full Name | GEORGE VILLARRUEL |
| Credential | CP |
| Practice Address |
3001 L St Sacramento CA 95816-5225 |
| Mailing Address |
1700 N Chrisman Rd Tracy CA 95304-9314 |
| Practice Telephone | 9167061520 |
| Practice Fax Number | 9167061551 |
| Mailing Telephone | 8007269180 |
| Mailing Fax Number | 2098341158 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2012-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3001 L ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992993554 | Ferhan Inam Maher | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2007-10-09 |
| 1225429798 | Shannon Mullaney | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2015-02-05 |
| 1700282423 | Michael Angel | Orthotic Fitter | 3001 L St, Sacramento, CA 95816-5225 | 2014-11-06 |
| 1144625278 | Chris Haas | Orthotic Fitter | 3001 L St, Sacramento, CA 95816-5225 | 2014-10-31 |
| 1467857581 | Justin Crandell | Orthotic Fitter | 3001 L St, Sacramento, CA 95816-5225 | 2014-10-31 |
| 1588950653 | Lucas Broadhurst | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2011-06-27 |
| 1033367271 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 3001 L St, Sacramento, CA 95816-5225 | 2008-08-29 |
| 1265688592 | David J. Scurti | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780964999 | Richard Lyman Wilcox | Prosthetist | 2425 Stockton Blvd, Suite 236, Sacramento, CA 95817-2215 | 2011-08-18 |
| 1932349883 | Eric J Smith | Prosthetist | 3001 P St, Suite B, Sacramento, CA 95816-6546 | 2009-03-04 |
| 1245492701 | Clint Jonutz | Prosthetist | 3838 Watt Ave Ste A110, Sacramento, CA 95821-2689 | 2008-06-26 |
| 1295924041 | Ann Theobald | Prosthetist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1760671515 | Christine A Meyer | Prosthetist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1720276025 | Bryan Hayes | Prosthetist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752942 | Elizabeth Olajide | Prosthetist | 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 | 2020-02-20 |
| 1831733948 | Shayla R Williams | Prosthetist | 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 | 2019-10-31 |
| 1578111290 | Charmie Johnson | Prosthetist | 7309 University Ave Ste B, La Mesa, CA 91942-0525 | 2019-08-27 |
| 1790341915 | Gloria Tatiana Dixon | Prosthetist | 32366 Evening Primrose Trl, Campo, CA 91906-3162 | 2019-05-13 |
| 1629633219 | Duana Robinson | Prosthetist | 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 | 2019-05-08 |
| 1366908741 | Alicia Lander | Prosthetist | 5252 Foothill Blvd, Oakland, CA 94601-5438 | 2019-02-11 |
| 1154895944 | Keyonia K Paramore | Prosthetist | 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 | 2019-01-15 |
| 1629544499 | Alexander Hetherington | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2018-10-19 |
| 1255815155 | Mary Alice Swiney | Prosthetist | 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 | 2018-09-18 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on GEORGE VILLARRUEL.
| 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.