Active NPI
Humberto Guadalupe Villarreal, M.D.
- Urology Physician
- Glendora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C161226
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- City of Hope Helford Clinical Research Hospital
- San Antonio Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C161226 | CA | MD | Urology Physician |
| MD-42204 | IA | MD | Urology Physician |
| 26150 | NE | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| City of Hope Medical Foundation | Urology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Beaver Medical Group P C | Urology | Current | 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
- 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Transplant Surgery Physician
- Rancho Mirage, CA
- NPI 1689002024
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Durango, CO
- NPI 1083611644
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.