Individual provider Active NPI

Mariel Villanueva

  • Family Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1871361774
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027053 Issued in CA
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

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527002282 CA Practitioner - Nurse Practitioner 5395260632 Reassigns benefits to 1 organization

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
Asian Pacific Health Care Venture, Inc.Group PAC ID 8729997390, 20 clinicians

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

OrganizationSpecialtyStatusNew patients
Asian Pacific Health Care Venture, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Asian Pacific Health Care Venture, Inc. CurrentSince Apr 28, 2025 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

  • Direct secure messaging: mariel.villanueva.p1@direct.aphcv.nextgenshare.com
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.