Antonio Banuelos Villegas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26798 Issued in CA

Practice address

10515 Balboa Blvd Ste 150
Granada Hills, CA 91344-6355

Phone

(818) 488-3880

Fax

(213) 652-1815

NPI assigned

Mar 26, 2007

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)

Enrolled

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1376661942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 N ELLEN DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222331",
            "telephone_number": "626-534-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 150",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446355",
            "telephone_number": "818-488-3880",
            "fax_number": "213-652-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANUELOS VILLEGAS",
        "first_name": "ANTONIO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Alin Balian
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• Bantay Residential Care Inc.
• Ken Iven Bantol, PMHNP-BC
• Alexander Basch, D.D.S.
• Mauricio Batres
• Rua Bayati
• Baywell Diagnostic Service Inc
• Be Happy Be Home 2 Inc

• Clinical Social Worker in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.