Marlyn Susan Villanueva Bartholomew

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95008582 Issued in CA

Practice address

9087 Arrow Rte Ste 246
Rancho Cucamonga, CA 91730-4488

Phone

(909) 784-0620

Fax

(909) 784-0617

NPI assigned

Dec 3, 2019

Sex

Female

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Wound Icons Inc

  • Primary Care Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1407681745
  NPD
• Oakview Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
  • NPI 1871905869
  NPD (past)

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1215574801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9087 ARROW RTE STE 246",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304488",
            "telephone_number": "909-784-0620",
            "fax_number": "909-784-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9087 ARROW RTE STE 246",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304488",
            "telephone_number": "909-784-0620",
            "fax_number": "909-784-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "MARLYN SUSAN",
        "middle_name": "VILLANUEVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Marie Barrios, NP-C
• Mercedes M Barron
• Cathleen Patricia Barry, MS
• Savannah Barry
• Shamara Lynn Garrido Barsana
• Carolina Bartolo, RBT
• Suresha Basavanayak, MS CCC-SLP
• Sagarika Basu, PA
• Jaylice Marcela Bates
• Fred Maypa Batiller, COTA/L

• Family Nurse Practitioner in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.