Active NPI
Ana Cecilia Vargas-Villena, NP
- Pediatric Nurse Practitioner
- Riverside, CA
National Provider Identifier
1588892889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP11321
- Practice address
- 4440 Brockton Ave
Riverside, CA 92501-4068 - Phone
- (951) 684-8020
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NP11321 | CA | Primary |
Addresses
Primary practice location
4440 Brockton Ave
Riverside, CA 92501-4068
Mailing address
25971 Hinckley St
Loma Linda, CA 92354-3947
Phone (909) 478-0760
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP11321 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1588892889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25971 HINCKLEY ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543947",
"telephone_number": "909-478-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014068",
"telephone_number": "951-684-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS-VILLENA",
"first_name": "ANA",
"middle_name": "CECILIA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "NP11321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.