Miriam Liliana Schmidt-Villanueva, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A42887 Issued in CA

Practice address

790 East Bonita Ave
2ND Floor
Pomona, CA 91767-1906

Phone

(909) 447-8585

Fax

(909) 447-8593

NPI assigned

Mar 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Chaparral Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1477733624
  Medicare reassignment NPD
• Chaparral Medical Group Inc.

  • Cardiovascular Disease Physician
  • Upland, CA
  • NPI 1639869605
  NPD
• Chaparral Medical Group Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Pomona, CA
  • NPI 1114989241
  NPD (past)
• Chino Medical Group, Inc

  dba My Family Medical Group

  • Health Maintenance Organization
  • Chino, CA
  • NPI 1790730786

  Pediatrics

  NPD (past)
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)
• Prime Healthcare Services - Montclair, LLC

  dba Montclair Hopsital Medical Center

  • General Acute Care Hospital
  • Montclair, CA
  • NPI 1992721161
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1689642092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "address_2": "CHAPARRAL MEDICAL GROUP",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 EAST BONITA AVE",
            "address_2": "2ND FLOOR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671906",
            "telephone_number": "909-447-8585",
            "fax_number": "909-447-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT-VILLANUEVA",
        "first_name": "MIRIAM",
        "middle_name": "LILIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A42887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A428870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivan B. Schatz, M.D
• Elise Michelle Scheetz, LMFT
• Deborah K. Scheuerell, N.P.
• McKenna Schindler, PA
• Heidi Marie Schlig, LPCC
• Justin Schneider
• Robert Lesley Schoenberg, OD
• David Jonathan Schultz
• Matthew Robert Schultz, M.D
• Alyssa Schwartz

• Pediatrics Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.