MR. JODY WILLETTS
NPI 1992919583
Technician, Other in Moreno Valley, CA

Active since May 10, 2007
11480 TIFFANY LANE, MORENO VALLEY, CA 92557(714) 519-4121 Get Directions Write a Review

NPPES record last updated: September 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jody Willetts NPPES

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

MR. JODY WILLETTS (NPI 1992919583) is an individual technician, other provider in Moreno Valley, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1992919583
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameMR. JODY WILLETTS
Location Address11480 TIFFANY LANEMoreno Valley, CA 92557
Mailing Address12625 Frederick St, Ste.l-5#149Moreno Valley, CA 92553-5216 · (714) 519-4121
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateSeptember 22, 2009
NPI 1992919583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
11480 TIFFANY LANE, Moreno Valley, CA 92557

Other Names 1

Other Name (5)Miss Angela Connors

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 Jody Willetts's NPI number?

The NPI number for Jody Willetts is 1992919583. It was assigned to this individual provider in the NPPES registry on May 10, 2007. The provider is also known as Miss Angela Connors.

Where is Jody Willetts located?

Jody Willetts practices at 11480 Tiffany Lane, Moreno Valley, CA 92557. The listed phone number is (714) 519-4121.

What is Jody Willetts's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Jody Willetts was last updated on September 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.