Individual provider Active NPI

Gabriela Villafuerte, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Trabuco Canyon, CA
National Provider Identifier
1659020550
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95020160 Issued in CA
Practice address
19387 Cascade Dr
Trabuco Canyon, CA 92679-1134
Phone
(714) 425-7415
NPI assigned
Mar 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95020160 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95020160 CA Primary

Addresses

Primary practice location

19387 Cascade Dr
Trabuco Canyon, CA 92679-1134

Mailing address

19387 Cascade Dr
Trabuco Canyon, CA 92679-1134
Phone (714) 425-7415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227003659 CA Practitioner - Nurse Practitioner 4587009766 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95020160CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuna Mental Wellness, Psychiatric Mental Health Nursing, PC Psychiatric/Mental Health CurrentSince Mar 24, 2025 Accepting new patients
CM Providers Medical Group, PC CurrentSince Jan 15, 2024 Accepting new patients
Gustavo Alva, M.D., a Professional Corporation CurrentSince Mar 4, 2024 Accepting new patients

Locations

3151 Airway Ave
Ste T3
Costa Mesa, CA 92626
Phone (760) 898-1102

11180 Warner Ave
Ste 463
Fountain Vly, CA 92708
Phone (714) 241-9200

26741 Portola Pkwy
Ste 1E
Lake Forest, CA 92610
Phone (949) 229-5508

1501 Superior Ave
Ste 205
Newport Beach, CA 92663
Phone (866) 433-9943

625 The City Dr S
Ste 310
Orange, CA 92868
Phone (949) 674-1548

Organizations & group practices 3

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": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1659020550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19387 CASCADE DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791134",
            "telephone_number": "714-425-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19387 CASCADE DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791134",
            "telephone_number": "714-425-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFUERTE",
        "first_name": "GABRIELA",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95020160",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trabuco Canyon, CA

Sources for this page

Verify at the official NPI Registry.