Christina Liezl Villanueva, NP
Individual provider Active NPI Primary Care Nurse Practitioner · Santa Clarita, CA
NPI 1740827872 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1740827872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 95012190 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210128001418 | CA | Practitioner - Nurse Practitioner | 8426462763 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Hills Pain Management Medical Corporation | Current |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Current |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Current |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Past | Accepting new patients |
Locations
19871 Nordhoff St
Northridge, CA 91324
Phone (818) 349-5050
224 N Fair Oaks Ave
Ste 300
Pasadena, CA 91103
Phone (626) 696-1451
1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200
18040 Sherman Way
Ste 200
Reseda, CA 91335
Phone (818) 212-2223
26357 McBean Pkwy
Ste 210
Valencia, CA 91355
Phone (661) 254-0172
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95012190 | CA | Yes |
Addresses
Primary practice location
26357 McBean Pkwy Ste 210
Santa Clarita, CA 91355-4497
Mailing address
26357 McBean Pkwy Ste 210
Santa Clarita, CA 91355-4497
Phone (661) 593-7379
Other practice location 1
19871 Nordhoff St
Northridge, CA 91324-3331
Phone (818) 359-8833
Other practice location 2
18040 Sherman Way Ste 200
Reseda, CA 91335-4656
Phone (818) 212-2223
Other providers in Santa Clarita, CA
- Reginald Lee Veurink
- Victoria Prasol, DDS, Inc.
- Jose Villa
- Marilia Villafuerte Hernandez
- Nathan Oliver Villamor
- Clarito Dimacali Villanueva Jr.
- Therese Villanueva
- Stacy Villasenor Sanchez
- Gabriel Villegas
- Dan Gerard Inserto Villestas
All providers in Santa Clarita, CA · Primary Care Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.