Active NPI
Anna Liza D. Villena, NP
- Family Nurse Practitioner
- Oakland, CA
National Provider Identifier
1689625303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10087
- Practice address
- 616 16TH St
Downtown Oakland Clinic
Oakland, CA 94612-1205 - Phone
- (510) 451-4270
- NPI assigned
- May 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10087 | CA | Primary |
Addresses
Primary practice location
616 16TH St
Downtown Oakland Clinic
Oakland, CA 94612-1205
Mailing address
1761 Roxbury Road
Upper Arlington, OH 43212
Phone (510) 367-2239
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10087 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1689625303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 ROXBURY ROAD",
"city": "UPPER ARLINGTON",
"state": "OH",
"postal_code": "43212",
"telephone_number": "510-367-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 16TH ST",
"address_2": "DOWNTOWN OAKLAND CLINIC",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121205",
"telephone_number": "510-451-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLENA",
"first_name": "ANNA LIZA",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "10087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.