Individual provider Active NPI

Antonia Brinee Villapudua, RN

  • Registered Nurse
  • San Francisco, CA
National Provider Identifier
1902305188
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95395478 Issued in CA
Practice address
1500 Franklin St
San Francisco, CA 94109-4523
Phone
(415) 474-7310
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Licensed Vocational Nurse 164X00000X 712190 CA
Registered Nurse 163W00000X 95395478 CA Primary

Addresses

Primary practice location

1500 Franklin St
San Francisco, CA 94109-4523

Mailing address

1500 Franklin St
San Francisco, CA 94109-4523
Phone (415) 474-7310

Other practice location 1

2 N Market St Ste 300
San Jose, CA 95113-1211
Phone (510) 210-3233

Other practice location 2

2220 Cemo Cir Apt 7148
Gold River, CA 95670-8173
Phone (098) 189-3512

Other names 1

  • Antonia Brinee Thach Other name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95395478CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1902305188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FRANKLIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094523",
            "telephone_number": "415-474-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FRANKLIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094523",
            "telephone_number": "415-474-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 N Market St Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951131211",
            "country_code": "US",
            "telephone_number": "510-210-3233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 Cemo Cir Apt 7148",
            "address_purpose": "LOCATION",
            "city": "Gold River",
            "state": "CA",
            "postal_code": "956708173",
            "country_code": "US",
            "telephone_number": "098-189-3512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAPUDUA",
        "first_name": "ANTONIA",
        "middle_name": "BRINEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "712190",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95395478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIA",
            "last_name": "THACH",
            "middle_name": "BRINEE",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.