Timothy Paul Villanueva

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5820 Stoneridge Mall Rd Ste 205
Pleasanton, CA 94588-3347

Phone

(619) 944-1544

NPI assigned

Nov 8, 2018

Last updated

Nov 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1023586880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 JOSEPHINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 205",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883347",
            "telephone_number": "619-944-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "TIMOTHY PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "111279",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pankaj K. Vij, MD
• Noemi Villa
• Jason Villacampa, DPT
• Francisco Villalobos
• Janine Rebekah Donida Villanueva, OTR/L
• Diana Violette
• Parmjeet K Virk, PHARM D
• Visual Eyes Optometry Inc
• Amanda Vizcarra
• Bivianna Alexis Vizcarra

• Behavior Technician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.