Active NPI
Mariel Villanueva
- Family Nurse Practitioner
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027053
- Practice address
- 8920 Wilshire Blvd Ste 327
Beverly Hills, CA 90211-2003 - Phone
- (310) 573-8947
- NPI assigned
- Dec 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95027053 | CA | Primary |
Addresses
Primary practice location
8920 Wilshire Blvd Ste 327
Beverly Hills, CA 90211-2003
Mailing address
6747 Musk Mallow CT
Eastvale, CA 92880-9165
Phone (909) 762-1932
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Johns Hopkins University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1530 Hillhurst Ave
Los Angeles, CA 90027-5516
Phone (323) 644-3880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asian Pacific Health Care Venture, Inc. | Current | Accepting new patients | |
| Asian Pacific Health Care Venture, Inc. | Current | Accepting new patients |
Locations
9960 Baldwin Pl
El Monte, CA 91731
Phone (626) 774-2988
4216 Fountain Ave
Los Angeles, CA 90029
Phone (323) 644-3880
1530 Hillhurst Ave
Los Angeles, CA 90027
Phone (323) 644-3880
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mariel.villanueva.p1@direct.aphcv.nextgenshare.com
- mvillanueva232024@direct.cshs.org
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 and National Provider Directory roles.
-
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1336208255
-
- Community Health Clinic/Center
- El Monte, CA
- NPI 1609147743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1871361774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6747 MUSK MALLOW CT",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928809165",
"telephone_number": "909-762-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8920 WILSHIRE BLVD STE 327",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112003",
"telephone_number": "310-573-8947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "MARIEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-20",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95027053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Frank Mario Antonio Vidjak, DDS
- Katarina Nevena Vidovic
- Viha Medical, Inc., a Professional Corporation
- Village Learning LLC
- Catrien H Villamil, LMFT
- Nathaniel Leon Villanueva, M.D.
- Vima Medical, Inc., a Profession Corporation
- Gabriella Vinokur
- Vip Anesthesia Services, Inc
- Vision Protection Institute of Beverly Hills Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.