Individual provider Active NPI

Genevieve Villanueva Angel, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1548897945
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95037408 Issued in CA
Practice address
2000 Stadium Way
Los Angeles, CA 90026-2606
Phone
(213) 706-0258
Fax
(213) 202-6809
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95037408 CA Primary

Addresses

Primary practice location

2000 Stadium Way
Los Angeles, CA 90026-2606

Mailing address

2000 Stadium Way
Los Angeles, CA 90026-2606
Phone (213) 706-0258

Other practice location 1

1141 W Redondo Beach Blvd
Gardena, CA 90247-3586
Phone (310) 834-5388

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

State licenses

LicenseStateTypeSpecialty
95037408CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geal Medical LLC Family Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1548897945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 STADIUM WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262606",
            "telephone_number": "213-706-0258",
            "fax_number": "213-202-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STADIUM WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262606",
            "telephone_number": "213-706-0258",
            "fax_number": "213-202-6809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 W Redondo Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902473586",
            "country_code": "US",
            "telephone_number": "310-834-5388",
            "fax_number": "310-834-5619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGEL",
        "first_name": "GENEVIEVE",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95037408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.