Carmela Villarin Ignacio, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP22782 Issued in CA

Practice address

1819 Western Ave
San Bernardino, CA 92411-1307

Phone

(909) 898-5101

Fax

(833) 973-6254

NPI assigned

Apr 26, 2013

Last updated

Aug 3, 2026By the provider in NPPES

Sex

Female

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 6

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mendocino Community Health Clinic IncGroup PAC ID 6305755455, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carmela.villarin.ignacio.8@17371.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mendocino Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ukiah, CA
  • NPI 1497961106
  Medicare reassignment Care Compare group NPD
• Cajon Medical Group PC

  • Internal Medicine Physician
  • Moreno Valley, CA
  • NPI 1841844891
  Medicare reassignment NPD
• Cajon Medical Group PC

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1326547183
  NPD
• Cajon Medical Group, PC

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1245118082
  NPD
• Mendocino Community Health Clinic, Inc.

  dba Dora Street Health Center

  • Federally Qualified Health Center (FQHC)
  • Ukiah, CA
  • NPI 1356714646
  NPD
• Mendocino Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ukiah, CA
  • NPI 1750809463
  NPD
• Welbehealth San Bernardino Pace, LLC

  dba WelbeHealth

  • PACE Provider Organization
  • San Bernardino, CA
  • NPI 1225839293
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ukiah Adventist Hospital

  dba Adventist Health Ukiah Valley

  • General Acute Care Hospital
  • Ukiah, CA
  • NPI 1235120676
  Care Compare affiliation

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1134563695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 WESTERN AVE",
            "address_2": "1819 WESTERN AVE N",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111307",
            "telephone_number": "909-898-5101",
            "fax_number": "833-973-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 WESTERN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111307",
            "telephone_number": "909-898-5101",
            "fax_number": "833-973-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNACIO",
        "first_name": "CARMELA",
        "middle_name": "VILLARIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP22782",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFF.6/3/13-MORENOVAL",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFF.6/4/13-SB,ONTARI",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFF.6/3/13-RIALT,FON",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFF.6/4/13-ADELANTO",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01282955/DU4034",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFF.6/3/13-S&N.RIVER",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raquel Ibarra
• Geoffrey Bestman Ibeabuchi, DR. PH.D LCSW
• Lawal Abiodun Ibrahim-Balogun
• Amal Shoukry Ibrahim, M.D.
• Iglesia Evangelica Ministerios El Remanente
• Gian Christian Tongson Ignacio, MD
• Whitney Ignant-White
• Sylvia A Ikerionwu
• Mark Khrystian Ilagan, D.O.
• Elda Ilia, PA

• Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.