Individual provider Active NPI

Humberto Guadalupe Villarreal, M.D.

  • Urology Physician
  • Glendora, CA
National Provider Identifier
1801023072
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C161226 Issued in CA
Practice address
412 W Carroll Ave Ste 200
Glendora, CA 91741-4709
Phone
(626) 914-3921
Fax
(626) 914-9611
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 26150 NE
Urology Physician 208800000X MD-42204 IA
Urology Physician 208800000X DR.0060186 CO
Urology Physician 208800000X C161226 CA Primary

Addresses

Primary practice location

412 W Carroll Ave Ste 200
Glendora, CA 91741-4709

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185
Phone (626) 914-3921

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190627001590 CA Practitioner - Urology 3870713829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

412 W Carroll Ave
Suite 200
Glendora, CA 91741-4709
Phone (626) 914-3921

Hospital & facility affiliations

  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597
  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C161226CAMDUrology Physician
MD-42204IAMDUrology Physician
26150NEMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Beaver Medical Group P C CurrentSince Aug 6, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Aug 1, 2019 Accepting new patients
City of Hope Medical Foundation Urology CurrentSince Nov 20, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Aug 1, 2019 Accepting new patients
Beaver Medical Group P C Urology CurrentSince Aug 6, 2019 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

301 W Huntington Dr
Arcadia, CA 91007
Phone (626) 218-9840

6109 W Ramsey St
Banning, CA 92220
Phone (909) 845-0313

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

412 W Carroll Ave
Ste 200
Glendora, CA 91741
Phone (626) 335-0228

11370 Anderson St
Ste 1100
Loma Linda, CA 92354
Phone (909) 558-2830

11234 Anderson St
Rm A560
Loma Linda, CA 92350
Phone (877) 558-6248

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

Interoperability endpoints

  • Direct secure messaging: hvillarreal263424@direct.llu.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1801023072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185",
            "telephone_number": "626-914-3921",
            "fax_number": "626-914-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE STE 200",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414709",
            "telephone_number": "626-914-3921",
            "fax_number": "626-914-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "HUMBERTO",
        "middle_name": "GUADALUPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "26150",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "MD-42204",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "DR.0060186",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "C161226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.