Active NPI
Brandon Lucas Villarreal, M.D.
- Anesthesiology Physician
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G60466
- Practice address
- 18300 Roscoe Blvd
Northridge, CA 91325 - Phone
- (818) 885-8500
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G60466 | CA | Primary |
Addresses
Primary practice location
18300 Roscoe Blvd
Northridge, CA 91325
Mailing address
PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815
Other practice location 1
15910 Ventura Blvd
Suite 1502
Encino, CA 91436-2802
Phone (818) 728-9877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040503000539 | CA | Practitioner - Anesthesiology | 5698763365 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G60466 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Anesthesia Services | Anesthesiology | Current | Accepting new patients |
| Advanced Anesthesia Specialists a Medical Corporation | Anesthesiology | Current | Accepting new patients |
| Farnad Medical Corporation | Anesthesiology | Current | Accepting new patients |
| Bayside Anesthesia Medical Group | Current | Accepting new patients | |
| Advanced Anesthesia Specialists a Medical Corporation | Anesthesiology | Current | Accepting new patients |
| Precision Anesthesia Group Inc | Current | Accepting new patients | |
| Sand Pacific Eye Group | Past | Accepting new patients | |
| Regents of the University of California | Anesthesiology | Past | Accepting new patients |
| Covenant Anesthesia Group, PC | Anesthesiology | Past | Accepting new patients |
| Vigilance Anesthesia Medical Group | Anesthesiology | Past | Accepting new patients |
Locations
8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122
120 S Spalding Dr
Ste 402
Beverly Hills, CA 90212
Phone (310) 260-1400
120 S Spalding Dr
Ste 205
Beverly Hills, CA 90212
Phone (310) 273-8002
8920 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 360-9119
9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900
8929 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 854-0283
150 N Robertson Blvd
Ste 110
Beverly Hills, CA 90211
Phone (310) 424-9507
120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755
8670 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 275-1646
120 S Spalding Dr
Ste 200
Beverly Hills, CA 90212
Phone (310) 550-7766
16311 Ventura Blvd
Ste 570
Encino, CA 91436
Phone (805) 969-5500
8436 W 3rd St
Ste 700
Los Angeles, CA 90048
Phone (310) 274-8228
5757 Wilshire Blvd
Ste PR2
Los Angeles, CA 90036
Phone (310) 285-9612
6000 San Vicente Blvd
Los Angeles, CA 90036
Phone (310) 832-2622
6801 Park Ter
Ste 300
Los Angeles, CA 90045
Phone (310) 655-7200
400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461
1200 Rosecrans Ave
Ste 110
Manhattan Beach, CA 90266
Phone (424) 220-4400
4551 Glencoe Ave
Ste 145
Marina del Rey, CA 90292
Phone (310) 426-8206
3501 Jamboree Rd
Ste 1200
Newport Beach, CA 92660
Phone (949) 988-7800
1801 W Olympic Blvd
#2100
Pasadena, CA 91199
1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511
3180 Willow Ln
Ste 116
Thousand Oaks, CA 91361
Phone (310) 880-8416
16311 Ventura Blvd
Ste 580
Van Nuys, CA 91436
Phone (213) 245-1325
7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424
32144 Agoura Rd
Ste 200
Westlake Village, CA 91361
Phone (310) 218-4502
Organizations & group practices 10
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.
-
- Pain Medicine (Anesthesiology) Physician
- Santa Monica, CA
- NPI 1184668469
CA
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1083258362
Anesthesiology, CA
-
- Anesthesiology Physician
- West Hills, CA
- NPI 1871733600
Anesthesiology, CA
-
- Anesthesiology Physician
- Manhattan Beach, CA
- NPI 1528381704
Anesthesiology, CA
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1083130553
Anesthesiology
-
- Pain Medicine Physician
- Los Angeles, CA
- NPI 1699224808
Anesthesiology
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1649823618
-
- Anesthesiology Physician
- Lakewood, CA
- NPI 1942498886
Anesthesiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Cincinnati College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayside Anesthesia Medical GroupFarnad Medical Corporation
Practice addresses (Care Compare)
1328 22ND St
St Johns Hospital
Santa Monica, CA 90404-2091
Phone (310) 477-2465
5757 Wilshire Blvd
Suite PR2
Los Angeles, CA 90036-3689
Phone (323) 433-7744
Hospital & facility affiliations
- Saint John'S Health Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1619985215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7001",
"city": "TARZANA",
"state": "CA",
"postal_code": "913577001",
"telephone_number": "818-888-7815",
"fax_number": "818-715-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91325",
"telephone_number": "818-885-8500"
}
],
"practiceLocations": [
{
"address_1": "15910 Ventura Blvd",
"address_2": "Suite 1502",
"address_purpose": "LOCATION",
"city": "Encino",
"state": "CA",
"postal_code": "914362802",
"country_code": "US",
"telephone_number": "818-728-9877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLARREAL",
"first_name": "BRANDON",
"middle_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G60466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.