Christina Liezl Villanueva, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95012190 Issued in CA

Practice address

26357 McBean Pkwy Ste 210
Santa Clarita, CA 91355-4497

Phone

(661) 593-7379

Fax

(661) 568-6856

NPI assigned

Dec 9, 2019

Last updated

Oct 12, 2023By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Algos Inc., a Medical Corporation

  dba Synovation Medical Group

  • Pain Medicine Physician
  • Pasadena, CA
  • NPI 1497747356
  Medicare reassignment NPD
• Mission Hills Pain Management Medical Corporation

  • Pain Clinic/Center
  • Northridge, CA
  • NPI 1235374372
  Medicare reassignment NPD
• Algos Inc., a Medical Corporation

  dba Synovation Medical Group

  • Pain Medicine Physician
  • Visalia, CA
  • NPI 1245832419
  NPD
• Algos Inc., a Medical Corporation

  dba Synovation Medical Group

  • Pain Medicine Physician
  • Los Angeles, CA
  • NPI 1649612094
  NPD
• Algos Inc., a Medical Corporation

  dba Synovation Medical Group

  • Pain Medicine Physician
  • Simi Valley, CA
  • NPI 1063890275
  NPD (past)

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1740827872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26357 MCBEAN PKWY STE 210",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913554497",
            "telephone_number": "661-593-7379",
            "fax_number": "661-568-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26357 MCBEAN PKWY STE 210",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913554497",
            "telephone_number": "661-593-7379",
            "fax_number": "661-568-6856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19871 Nordhoff St",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913243331",
            "country_code": "US",
            "telephone_number": "818-359-8833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18040 Sherman Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913354656",
            "country_code": "US",
            "telephone_number": "818-212-2223",
            "fax_number": "818-212-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "CHRISTINA LIEZL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95012190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald Lee Veurink, PSY.D.
• Victoria Prasol, DDS, Inc.
• Jose Villa
• Marilia Villafuerte Hernandez
• Nathan Oliver Villamor, RN
• Clarito Dimacali Villanueva Jr.
• Therese Villanueva, RN
• Stacy Villasenor Sanchez
• Gabriel Villegas
• Dan Gerard Inserto Villestas, RN

• Primary Care Nurse Practitioner in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.