Marcos Eliseo Chacon Villanueva

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

02271594 Issued in CA

Practice address

851 S Sunset Ave Apt T220
West Covina, CA 91790-5510

Phone

(323) 712-1840

NPI assigned

Sep 26, 2023

Last updated

Mar 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1194504498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ROWLAND ST # 237",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233146",
            "telephone_number": "323-712-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S SUNSET AVE APT T220",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905510",
            "telephone_number": "323-712-1840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Rowland St # 237",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917233146",
            "country_code": "US",
            "telephone_number": "323-712-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACON VILLANUEVA",
        "first_name": "MARCOS",
        "middle_name": "ELISEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "02271594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Cerriteno
• Christina Cervantes
• Jasmin Cervera
• Jongwook Cha
• Young Ho Cha, D.M.D.
• Maria Chacon
• Alexis Chaij
• Champion Care Home Health, Inc.
• Champion Care Hospice, Inc.
• Carrie Pui-See Chan, PHARMD

• Phlebotomy Technician in West Covina, CA
• Providers in West Covina, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.