MEDICARE: DAVID VILLASENOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1659035384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID VILLASENOR

Provider Business Mailing Address
First Line	:	410 S RAMPART BLVD STE 390
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-5749
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3209 ARLENE WAY APT 1
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4650
Country	:	US
Telephone Number	:	702-640-6412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2021
Last Update Date	:	10/28/2021

Similar Medicare Providers

1891094314 — ANDRE THOMAS
Practice Location Address:

4650 N RAINBOW BLVD , 2200
LAS VEGAS, NV
89108-5757

Practice Phone: 734-255-4404
Practice Fax:

1740578160 — MITCHEL EVANS B.S. HUMAN SERVICES
Practice Location Address:

4650 N RAINBOW BLVD APT 1035
LAS VEGAS, NV
89108-5759

Practice Phone: 702-882-9359
Practice Fax:

1871933044 — MS. SHANTHI REDDY MSW
Practice Location Address:

4650 N RAINBOW BLVD APT 2042
LAS VEGAS, NV
89108-5763

Practice Phone: 808-205-4335
Practice Fax:

1851811996 — SHINEAL COLLINS
Practice Location Address:

4650 N RAINBOW BLVD APT 1007
LAS VEGAS, NV
89108-5758

Practice Phone: 702-787-7087
Practice Fax:

1346745726 — ANA ESCOBAR PORTILLO
Practice Location Address:

4650 N RAINBOW BLVD APT 2033
LAS VEGAS, NV
89108-5763

Practice Phone: 702-756-5992
Practice Fax:

1831662576 — MICHAELA KELLIE GOODWIN LAT, ATC
Practice Location Address:

4650 N RAINBOW BLVD
LAS VEGAS, NV
89108-5757

Practice Phone: 702-525-7459
Practice Fax:

1912598426 — MADAME AMUSE BEAUTY RX
Practice Location Address:

4650 N RAINBOW BLVD APT 1219
LAS VEGAS, NV
89108-5761

Practice Phone: 702-688-3250
Practice Fax:

Directions to “ DAVID VILLASENOR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.