Individual provider Active NPI

Holly Marie Viloria, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Laguna Beach, CA
National Provider Identifier
1609876622
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP14715 Issued in CA
Practice address
32392 Coast Hwy Ste 250
Laguna Beach, CA 92651-6776
Phone
(949) 499-2265
Fax
(949) 499-2276
NPI assigned
Aug 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN611913 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X 1997 CA
Family Nurse Practitioner 363LF0000X NP14715 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP14715 CA Primary

Addresses

Primary practice location

32392 Coast Hwy Ste 250
Laguna Beach, CA 92651-6776

Mailing address

32392 Coast Hwy
Ste. 250
Laguna Beach, CA 92651-6776
Phone (949) 499-2265

Other identifiers 1

IdentifierTypeStateIssuer
1609166099OtherGROUP NPI-TYPE 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN611913CAMDRegistered Nurse
1997CAMDPsychiatric/Mental Health Registered Nurse
14715CAMDAcupuncturist
NP14715CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laguna Family Health Center, a Nursing Corporation Psychiatric/Mental Health PastSince Jun 8, 2025 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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1609876622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32392 COAST HWY",
            "address_2": "STE. 250",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516776",
            "telephone_number": "949-499-2265",
            "fax_number": "949-499-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32392 COAST HWY STE 250",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516776",
            "telephone_number": "949-499-2265",
            "fax_number": "949-499-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILORIA",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN611913",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "1997",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP14715",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP14715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI-TYPE 2",
            "identifier": "1609166099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.