Individual provider Active NPI

Imelda De Forest, M.D.

  • Pediatrics Physician
  • Oxnard, CA
National Provider Identifier
1801974084
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A51405 Issued in CA
Practice address
1700 N Rose Ave Ste 280
Oxnard, CA 93030-7645
Phone
(805) 384-8071
Fax
(805) 981-6201
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A51405 CA Primary

Addresses

Primary practice location

1700 N Rose Ave Ste 280
Oxnard, CA 93030-7645

Mailing address

3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956

Other names 1

  • Dr. Imelda Villanueva Former name

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
I20130809000083 CA Practitioner - Pediatric Medicine 3476795105 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jun 17, 2013 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 17, 2013 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
County of Ventura Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2901 N Ventura Rd
Ste 100
Oxnard, CA 93036
Phone (805) 981-6101

1700 N Rose Ave
Ste 280
Oxnard, CA 93030
Phone (805) 383-5270

1700 N Rose Ave
Ste 350
Oxnard, CA 93030
Phone (805) 485-7877

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1801974084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTN: CREDENTIALING/PAYER ENROLLMENT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE STE 280",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307645",
            "telephone_number": "805-384-8071",
            "fax_number": "805-981-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FOREST",
        "first_name": "IMELDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A51405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMELDA",
            "last_name": "VILLANUEVA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.