Active NPI
Julia Fay Villarreal
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1043748437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 107363
- Practice address
- 4470 W Sunset Blvd Ste 107
Los Angeles, CA 90027-6309 - Phone
- (916) 919-7070
- NPI assigned
- May 30, 2017
- Reactivated
- May 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Marriage & Family Therapist | 106H00000X | 107363 | CA | Primary |
Addresses
Primary practice location
4470 W Sunset Blvd Ste 107
Los Angeles, CA 90027-6309
Mailing address
7273 14TH Ave
#120B
Sacramento, CA 95820
Phone (210) 739-3247
Other names 1
- Mrs. Julia Fay Lim-Villarreal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107363 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1043748437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7273 14TH AVE",
"address_2": "#120B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95820",
"telephone_number": "210-739-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4470 W SUNSET BLVD STE 107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276309",
"telephone_number": "916-919-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "JULIA",
"middle_name": "FAY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"deactivation_date": "2018-05-15",
"reactivation_date": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "107363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "LIM-VILLARREAL",
"middle_name": "FAY",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.