Individual provider Active NPI

Jocelyn Louisa Villeda

  • Registered Nurse
  • Brentwood, CA
National Provider Identifier
1962165373
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95180582 Issued in CA
Practice address
7175 Brentwood Blvd
Brentwood, CA 94513-2440
Phone
(415) 261-2060
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95180582 CA Primary

Addresses

Primary practice location

7175 Brentwood Blvd
Brentwood, CA 94513-2440

Mailing address

7175 Brentwood Blvd
Brentwood, CA 94513-2440
Phone (415) 261-2060

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

LicenseStateTypeSpecialty
95180582CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1962165373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7175 BRENTWOOD BLVD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132440",
            "telephone_number": "415-261-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 BRENTWOOD BLVD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132440",
            "telephone_number": "415-261-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEDA",
        "first_name": "JOCELYN",
        "middle_name": "LOUISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95180582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.