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  7. NPI Record 1750792149

MS. IRIS M VILLANUEVA MMS, PA-C
Complete NPI Record 1750792149
Physician Assistant in Woodland, CA


Quality Rating: 96.95 out of 100 score

NPI Status: Active since May 19, 2014

Contact Information

2081 BRONZE STAR DR
WOODLAND, CA
ZIP 95776
Phone: (530) 668-2600
Fax: (530) 661-1081

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Name Prefix Text
  7. Provider Credential Text
  8. Provider Other Last Name
  9. Provider Other First Name
  10. Provider Other Middle Name
  11. Provider Other Credential Text
  12. Provider Other Last Name Type Code
  13. Provider First Line Business Mailing Address
  14. Provider Business Mailing Address City Name
  15. Provider Business Mailing Address State Name
  16. Provider Business Mailing Address Postal Code
  17. Provider Business Mailing Address Country Code If outside U S
  18. Provider First Line Business Practice Location Address
  19. Provider Business Practice Location Address City Name
  20. Provider Business Practice Location Address State Name
  21. Provider Business Practice Location Address Postal Code
  22. Provider Business Practice Location Address Country Code If outside U S
  23. Provider Business Practice Location Address Telephone Number
  24. Provider Business Practice Location Address Fax Number
  25. Provider Enumeration Date
  26. Last Update Date
  27. Provider Gender Code
  28. Healthcare Provider Taxonomy Code 1
  29. Provider License Number 1
  30. Provider License Number State Code 1
  31. Healthcare Provider Primary Taxonomy Switch 1
  32. Is Sole Proprietor
  33. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1750792149. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1750792149
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: IRIS
The first name of the provider, if the provider is an individual.
Provider Middle Name: M
The middle name of the provider, if the provider is an individual.
Provider Name Prefix Text: MS.
The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Credential Text: MMS, PA-C
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Other Last Name: LEHMAN
Other last name by which the provider being identified is or has been known.
Provider Other First Name: IRIS
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider Other Middle Name: M
Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider middle name’’ if the provider is or has been known by a different last name only.
Provider Other Credential Text: MMS, PA-C
The other abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Other Last Name Type Code: 1
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 3400 DATA DR
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: RANCHO CORDOVA
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: CA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 956707956
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider First Line Business Practice Location Address: 2081 BRONZE STAR DR
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: WOODLAND
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: CA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 957765423
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 5306682600
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 5306611081
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/19/2014
The country code in the location address of the provider being identified.
Last Update Date: 6/3/2020
The telephone number associated with the location address of the provider being identified.
Provider Gender Code: F
The date the provider was assigned a unique identifier (assigned an NPI).
Healthcare Provider Taxonomy Code 1: 363A00000X
The date that a record was last updated or changed.
Provider License Number 1: 51614
The code designating the provider’s gender if the provider is a person.
Provider License Number State Code 1: CA
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 6/3/2020