Alfonso Villanueva Pastores, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005026 Issued in CA

Practice address

11890 Park Ave
Artesia, CA 90701-5806

Phone

(562) 376-0176

NPI assigned

Sep 23, 2016

Last updated

Sep 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Infectious Disease Clinic Inc

  • Infectious Disease Physician
  • West Covina, CA
  • NPI 1437553971
  NPD
• Jagan N. Bansal, M.D., Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1013099936
  NPD
• Jagan N. Bansal, M.D., Inc.

  dba Complete Family Medical Clinic

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1043392962
  NPD

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1700335494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11890 PARK AVE",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015806",
            "telephone_number": "562-376-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 PARK AVE",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015806",
            "telephone_number": "562-376-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTORES",
        "first_name": "ALFONSO",
        "middle_name": "VILLANUEVA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Arambulo Pangga
• Paramount Acupuncture Clinic
• Jacqueline Jung Ah Park, RPH
• Yeon Hong Park, D.D.S.
• Passionate Heart Hospice, Inc.
• Desiree Christine Payes I
• Hsin-Chin Jully Peng, L.AC.
• Felicia Noelle Pereira
• Perfectcare, LLC Dba Senior Helpers of Cerritos
• Thuy Le Thu Pham

• Family Nurse Practitioner in Artesia, CA
• Providers in Artesia, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.