Active NPI
Janine Villanueva, CPNP-PC
- Pediatric Nurse Practitioner
- Orange, CA
National Provider Identifier
1922766120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95017844
- Practice address
- 760 N Rodeo Cir
Orange, CA 92869-2301 - Phone
- (714) 880-7685
- NPI assigned
- Dec 4, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95017844 | CA | Primary |
Addresses
Primary practice location
760 N Rodeo Cir
Orange, CA 92869-2301
Mailing address
760 N Rodeo Cir
Orange, CA 92869-2301
Phone (714) 880-7685
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017844 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638576000000",
"number": "1922766120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 N RODEO CIR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928692301",
"telephone_number": "714-880-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 N RODEO CIR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928692301",
"telephone_number": "714-880-7685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "JANINE",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-04",
"last_updated": "2021-12-04",
"certification_date": "2021-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95017844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.