Erenea Dar Juan Villanueva

Primary specialty

SpecialistTaxonomy code 174400000X

License

991572 Issued in CA

Practice address

3113 Big Dalton Ave
Unit B
Baldwin Park, CA 91706-5106

Phone

(626) 475-2296

Fax

(626) 962-7371

NPI assigned

May 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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.

• JDS Medical Billing Services

  • Contractor
  • Baldwin Park, CA
  • NPI 1669639241
  NPD (past) Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1376700872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 BIG DALTON AVE",
            "address_2": "UNIT B",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065106",
            "telephone_number": "626-475-2296",
            "fax_number": "626-962-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 BIG DALTON AVE",
            "address_2": "UNIT B",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065106",
            "telephone_number": "626-475-2296",
            "fax_number": "626-962-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "ERENEA",
        "middle_name": "DAR JUAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "991572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "991572",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron P. Verham, MD
• Sean Victoria
• Rosalva Q. Vieyra, MD
• Victor Ray Villa
• Joel Pineda Villamater, PT
• Heidee D. Villanueva, DO
• Renata Viner, MFT
• Amy E. Vinther, MD
• Frederick Edmund Viray, PT, DPT
• William D. Visser, MD

• Specialist in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.