Healthcare Provider Details

I. General information

NPI: 1508740283
Provider Name (Legal Business Name): SABRINA VILLATORO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 N TUSTIN AVE STE 216
SANTA ANA CA
92705-6506
US

IV. Provider business mailing address

115 S STATE COLLEGE BLVD UNIT 266
BREA CA
92821-1607
US

V. Phone/Fax

Practice location:
  • Phone: 714-545-5550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95302718
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95037079
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: