Healthcare Provider Details

I. General information

NPI: 1366389611
Provider Name (Legal Business Name): RUBY RAYLENE VILLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6340 RALSTON ST
VENTURA CA
93003-6128
US

IV. Provider business mailing address

6340 RALSTON ST
VENTURA CA
93003-6128
US

V. Phone/Fax

Practice location:
  • Phone: 805-670-6037
  • Fax:
Mailing address:
  • Phone: 805-670-6037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: