Individual provider Active NPI

Josefina Billedo Viste, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1861534026
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A38815 Issued in CA
Practice address
2721 W 6TH St
Los Angeles, CA 90057-3111
Phone
(213) 386-0010
Fax
(213) 386-4190
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A38815 CA Primary

Addresses

Primary practice location

2721 W 6TH St
Los Angeles, CA 90057-3111

Mailing address

2721 W 6TH St
Los Angeles, CA 90057-3111
Phone (213) 386-0010

Other identifiers 1

IdentifierTypeStateIssuer
00A388150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A38815CAMDFamily Medicine Physician
38815CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sin Fronteras Health and Wellness Center PastSince Oct 27, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861534026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573111",
            "telephone_number": "213-386-0010",
            "fax_number": "213-386-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573111",
            "telephone_number": "213-386-0010",
            "fax_number": "213-386-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISTE",
        "first_name": "JOSEFINA",
        "middle_name": "BILLEDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A388150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.