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Dr. Tanacio A Villaruz Jr, M.D

Family Medicine in Santa Ana, CA. Individual provider (NPI-1).

NPI number1497898522
StatusActive
Last updated in NPPESFeb 12, 2008

Details

NPI
1497898522
Entity type
Individual (NPI-1)
Name
Dr. Tanacio A Villaruz Jr
Credential
M.D
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 15, 2007
Last updated
Feb 12, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA36175CAYes

Practice location

2015 W 1st St Ste K
Santa Ana, CA 92703-3516

Phone 714-547-7745

Mailing address

2015 W 1st St Ste K
Santa Ana, CA 92703-3516

Phone 714-547-7745

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Santa Ana, CA

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