DR. ROGER VILLANUEVA DO
NPI 1437562097
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
401 PARADISE RD STE E, MODESTO, CA 95351(209) 576-3526 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Roger Villanueva Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROGER VILLANUEVA DO (NPI 1437562097) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1437562097
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ROGER VILLANUEVACredential: DO
Location Address401 PARADISE RD STE EModesto, CA 95351-3163
Mailing Address1441 Florida AveModesto, CA 95350-4404 · (209) 576-3576
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 11, 2014
Last NPPES UpdateFebruary 11, 2022
NPI 1437562097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

401 PARADISE RD STE E, Modesto, CA 95351

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Roger Villanueva Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961778238
PECOS Enrollment IDI20171101001264
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351

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 Roger Villanueva's NPI number?

The NPI number for Roger Villanueva is 1437562097. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Roger Villanueva located?

Roger Villanueva practices at 401 Paradise Rd Ste E, Modesto, CA 95351. The listed phone number is (209) 576-3526.

What is Roger Villanueva's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Roger Villanueva enrolled in Medicare?

Yes. Roger Villanueva is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Roger Villanueva was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.