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Contact Information

RAYMOND A VILLAVERDE, PA
4140 JADE ST
SUITE 100
CAPITOLA, CA95010-3956
 Phone: 831-475-4344
 Fax: 831-475-4344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical-Surgical

364SM0705X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for RAYMOND A VILLAVERDE · (Male)

NPI Number 1033118237
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/19/2005
Last updated 05/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA21732
  • IL License # 085-001011
Hospital affiliation(s)
  • DOMINICAN HOSPITAL - (Acute Care)
    1555 SOQUEL DRIVE
    SANTA CRUZ, CA 95065
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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