Active NPI
Jessica Marie Villarreal
- Community Health Worker
- Palmdale, CA
National Provider Identifier
1306679949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1529 E Palmdale Blvd BLDG Suite101
Palmdale, CA 93550-2034 - Phone
- (661) 802-9274
- NPI assigned
- Aug 20, 2024
- Last updated
- Aug 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
1529 E Palmdale Blvd BLDG Suite101
Palmdale, CA 93550-2034
Mailing address
620 E Avenue H14 Apt 172
Lancaster, CA 93535-2096
Phone (661) 483-1765
Other names 1
- Jessica Marie 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1306679949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 E AVENUE H14 APT 172",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935352096",
"telephone_number": "661-483-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 E PALMDALE BLVD BLDG SUITE101",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935502034",
"telephone_number": "661-802-9274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "JESSICA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "VILLARREAL",
"middle_name": "MARIE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Palmdale, CA
- Brenda Vieyra, IBCLC, DOULA
- Jannah Mariel Villaflor, BSN, RN
- Maria Lidia Villafranco
- Melannie Villafranco
- Ian Talusan Villanueva
- Carissa Leigh Villavicencio, PA-C
- Purificacion Paguyo Villegas, RN
- Frances Vine, PSY.D.
- Vinod Kannarkat MD Inc., Cardiac Rhythm Institute
- Vintage Medical Group of Palmdale
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.