Active NPI
Paulo Villanueva, DC
- Chiropractor
- Lawndale, CA
National Provider Identifier
1710113113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 30720
- Practice address
- 15901 Hawthorne Blvd
Ste 420
Lawndale, CA 90260-5808 - Phone
- (626) 575-1211
- Fax
- (626) 575-1511
- NPI assigned
- May 31, 2009
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 30720 | CA | Primary |
Addresses
Primary practice location
15901 Hawthorne Blvd
Ste 420
Lawndale, CA 90260-5808
Mailing address
4940 W 99TH St
Inglewood, CA 90301-3612
Phone (310) 259-7748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110307000967 | CA | Practitioner - Chiropractic | 6204018658 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 30720 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jameson Wong Chiropractic, PC | Chiropractor | Past | Accepting new patients |
| Diep Neuro Spine Chiropractic Institute, a Professional Corporation | Chiropractor | Past | Accepting new patients |
| Diep Chiropractic Wellness, Inc. | Chiropractor | Past | Accepting new patients |
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.
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-
- Chiropractor
- Alhambra, CA
- NPI 1245958073
-
- Chiropractor
- El Monte, CA
- NPI 1841719820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1710113113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 W 99TH ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903013612",
"telephone_number": "310-259-7748",
"fax_number": "626-575-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15901 HAWTHORNE BLVD",
"address_2": "STE 420",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902605808",
"telephone_number": "626-575-1211",
"fax_number": "626-575-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "PAULO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-31",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 30720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.