MR. JOSE L VILLAGOMEZ


Address: 12099 W Washington Blvd, Ste 400, Los Angeles, CA 90066-5882
Phone: 3103983803

MR. JOSE L VILLAGOMEZ (NPI# 1699717462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699717462
Entity Type Individual
Full Name MR. JOSE L VILLAGOMEZ
Credential MD
Practice Address 12099 W Washington Blvd
Ste 400
Los Angeles
CA 90066-5882
Practice Telephone 3103983803
Practice Fax Number 3103985189
Mailing Telephone 3103983803
Mailing Fax Number 3103985189
Enumeration Date 2006-06-13
Last Update Date 2011-02-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine A61283 CA Allopathic & Osteopathic Physicians
Y 208D00000X General Practice A61283 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 11613705 01
CA 00A612830 05
CA MEDICAL 00A612830 01

Office Location

Street Address 12099 W WASHINGTON BLVD
STE 400
City LOS ANGELES
State CA
Zip Code 90066-5882

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346854403 Adrianna Franco Student in an Organized Health Care Education/Training Program 12099 W Washington Blvd, Los Angeles, CA 90066-5882 2020-09-04
1861036956 Kenia P Martinez Case Manager/Care Coordinator 12099 W Washington Blvd, Los Angeles, CA 90066-5882 2019-10-31
1881243178 Jenny Pinto Student in an Organized Health Care Education/Training Program 12099 W Washington Blvd, Los Angeles, CA 90066-5882 2019-09-09
1508411125 Desiree Pacheco Rehabilitation Practitioner 12099 W Washington Blvd, Los Angeles, CA 90066-5882 2019-08-09
1720633183 Bianca Jaelyn Collazo Marriage & Family Therapist 12099 W Washington Blvd, Los Angeles, CA 90066-5882 2019-08-02
1295296580 Shugar Jones Case Manager/Care Coordinator 12099 W Washington Blvd, Los Angeles, CA 90066-5882 2019-03-28
1982188900 Wendi Jessica Avila Counselor 12099 W Washington Blvd, Los Angeles, CA 90066-5882 2018-09-17
1609382308 Karina Del Campo Case Manager/Care Coordinator 12099 W Washington Blvd, Los Angeles, CA 90066-5882 2017-12-18
1467982280 Kevin Emilio Perez Rehabilitation Practitioner 12099 W Washington Blvd, Los Angeles, CA 90066-5882 2017-06-14
1225561822 Deborah A Gill Case Manager/Care Coordinator 12099 W Washington Blvd, Suite 200, Los Angeles, CA 90066-5882 2017-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330274 Marilyn S Zweifach Psychologist 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
1073167458 Rosario Tabares Marriage & Family Therapist 4173 Inglewood Blvd., Los Angeles, CA 90066 2019-07-24
1396200739 Ruzziel Pio Licensed Vocational Nurse 4344 Harding Avenue, Los Angeles, CA 90066 2019-02-08
1164992731 Erfan Nazeri Student in an Organized Health Care Education/Training Program 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 2018-11-27
1972096600 Tricia Kim Ann Walters Licensed Vocational Nurse 1233 S. La Cienega Blvd, Los Angeles, CA 90066 2018-06-07
1174015622 Nicole Hiorns Occupational Therapist 11605 Washington Place, Los Angeles, CA 90066 2018-05-31
1225549934 Gary Sattler Psychoanalyst 3133 Federal Ave., Los Angeles, CA 90066 2017-10-20
1669991568 Nexus Recovery Services, LLC Clinic/Center 11515 Washington Blvd, Culver City, CA 90066 2017-09-12
1336669381 Andrea Michelle Bakke Dentist 3636 Rosewood Ave, Los Angeles, CA 90066 2017-06-21
1659820686 Pegah Ghassemi Bakhtiari Dds Inc Dentist 12756 West Washington Blvd, Los Angeles, CA 90066 2016-10-03
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1609403807 Doctors On The Go Professional Group Corp. General Practice 3325 Wilshire Blvd Ste 210, Los Angeles, CA 90010-1718 2020-03-26
1568001584 Ahdout Health Services, Inc. General Practice 2121 Avenue of The Stars # Ll20, Los Angeles, CA 90067-5010 2019-12-23
1104470384 Chan Family Medical Corp General Practice 4070 E. Olympic Blvd, Los Angeles, CA 90023 2019-07-26
1972064004 Divine Help Medical Group Inc General Practice 1711 W Temple St Unit 5613, Los Angeles, CA 90026-5421 2019-03-29
1942767801 Plaza Health Services Inc. General Practice 11111 Santa Monica Blvd Ste 200, Los Angeles, CA 90025-3333 2019-02-27
1124536289 Edward Meltser General Practice 469 N Alfred St, Los Angeles, CA 90048-2504 2018-01-11
1023524980 St. Johns Urgent Care & Medical Corporation General Practice 1138 N Western Ave, Los Angeles, CA 90029-1702 2017-12-14
1992234199 David Ghods General Practice 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016-4869 2017-06-09
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Competitor

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City LOS ANGELES
Zip Code 90066

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Dataset Information

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.

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