Individual provider Active NPI

Joseph Villafuerte, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1912739749
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95036431 Issued in CA
Practice address
4932 Avoca St
Los Angeles, CA 90041-3106
Phone
(323) 839-4684
NPI assigned
Aug 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 771292 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95036431 CA Primary

Addresses

Primary practice location

4932 Avoca St
Los Angeles, CA 90041-3106

Mailing address

4932 Avoca St
Los Angeles, CA 90041-3106
Phone (323) 839-4684

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
I20260402002898 CA Practitioner - Nurse Practitioner 9638654098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nobu Psychiatry and Mental Health Nursing ApcGroup PAC ID 7517432651, 2 clinicians

Practice addresses (Care Compare)

16400 Ventura Blvd
Suite 323
Encino, CA 91436-2187
Phone (747) 261-8910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
771292CAMDAdult Psychiatric/Mental Health Registered Nurse
95036431CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Mind Health Inc. CurrentSince Feb 10, 2026 Accepting new patients

Locations

6851 Lennox Ave
Ste 405
Van Nuys, CA 91405
Phone (866) 557-7924

8413 Fallbrook Ave
#200
West Hills, CA 91304
Phone (866) 557-7924

Organizations & group practices 3

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1912739749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 AVOCA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413106",
            "telephone_number": "323-839-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4932 AVOCA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413106",
            "telephone_number": "323-839-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFUERTE",
        "first_name": "JOSEPH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "771292",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95036431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.