VIVIAN VILLASENOR DMD
NPI 1124743851
Dentist - General Practice in Jurupa Valley, CA
About Vivian Villasenor Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIAN VILLASENOR DMD (NPI 1124743851) is an individual general practice provider in Jurupa Valley, California, licensed in California (108095) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vivian Villasenor Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91752 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vivian Villasenor's NPI number?
The NPI number for Vivian Villasenor is 1124743851. It was assigned to this individual provider in the NPPES registry on October 5, 2022.
Where is Vivian Villasenor located?
Vivian Villasenor practices at 6445 Pats Ranch Rd, Jurupa Valley, CA 91752. The listed phone number is (951) 808-5881.
What is Vivian Villasenor's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Vivian Villasenor enrolled in Medicare?
Yes. Vivian Villasenor is registered in the Medicare PECOS enrollment system.
What insurance does Vivian Villasenor accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Vivian Villasenor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Vivian Villasenor was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vivian Villasenor, DMD · NPI 1124743851
General Practice provider in Jurupa Valley, California. Individual provider, active in the CMS NPPES registry since October 5, 2022.
## Identity
- **NPI:** 1124743851 (Entity type: Individual)
- **Enumerated:** October 5, 2022
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 108095 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6445 PATS RANCH RD, Jurupa Valley, CA 91752-4439
- **Phone:** (951) 808-5881
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** October 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124743851) · Data from the CMS NPPES public registry.