Luis Villavicencio, B.A.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1325 N Western Ave
Los Angeles, CA 90027

Phone

(323) 461-3131

NPI assigned

May 28, 2013

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAGGAA

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.

• Covenant House California

  • Mental Illness Community Based Residential Treatment Facility
  • Los Angeles, CA
  • NPI 1518169325
  NPD (past)
• JWCH Institute, Inc

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1528515152
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1609213990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275615",
            "telephone_number": "323-461-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-461-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Flynn Rd",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930128704",
            "country_code": "US",
            "telephone_number": "805-445-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAVICENCIO",
        "first_name": "LUIS",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Villatoro
• Kayla Villatoro
• Daniel Villavecer
• Vivien Mosqueda Villaverde, LCSW, PPSC
• Alicia Villavert, RN
• Monika Yuriko Villazon, NP
• Robin Villeda Aldana, D.P.T.
• Melvis Villeda, BA
• Vicky Villegas Diaz
• Doris Villegas Vazquez

• Case Manager/Care Coordinator in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.