Angelica Villanueva

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

6074 Issued in CA

Practice address

1825 Derby St Apt D
Berkeley, CA 94703-1967

Phone

(862) 249-3596

NPI assigned

Aug 10, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ascend Pediatrics Inc.

  • Developmental Disabilities Clinic/Center
  • Union City, CA
  • NPI 1477498723
  NPD (past)

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1306574157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 DERBY ST APT D",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031967",
            "telephone_number": "862-249-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 DERBY ST APT D",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031967",
            "telephone_number": "862-249-3596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29516 Kohoutek Way",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "CA",
            "postal_code": "945871221",
            "country_code": "US",
            "telephone_number": "510-441-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "ANGELICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "6074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angelicavillanueva@ascendrehabinc.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Ascend Rehab Services Inc,",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1825 Derby St Apt D",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947031967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hector Villa Nieves
• Paulette Regina Villa
• Maria Villacis, M.S. SLP
• Joanne M Villani
• Ernesto G Villanova, M.A.
• Antonio Villanueva, REGISTERED NURSE
• Chelsea Villareal
• Saulo Villatoro
• Alisa Vincent, MFTI
• Charlette Viney

• Occupational Therapy Assistant in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.