Alexandria Therese Villanueva
Nurse Practitioner, Family in Los Angeles, CA. Individual provider (NPI-1).
NPI number1710599345
StatusActive
Last updated in NPPESApr 13, 2021
Details
- NPI
- 1710599345
- Entity type
- Individual (NPI-1)
- Name
- Alexandria Therese Villanueva
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Apr 13, 2021
- Last updated
- Apr 13, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95012484 | CA | Yes |
Practice location
400 W 30th StLos Angeles, CA 90007-3320
Phone 213-284-3200
Mailing address
400 W 30th StLos Angeles, CA 90007-3320
Phone 213-282-3200
Other practice locations
17637 Gladesworth Ln
Canyon Country, CA 91387-3809
Canyon Country, CA 91387-3809
Phone 661-993-7574
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.
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