Active NPI
Daniel Ricardo Villanueva, LMFT
- Marriage & Family Therapist
- Pomona, CA
National Provider Identifier
1972168763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 129674
- Practice address
- 790 E Bonita Ave
Pomona, CA 91767-1906 - Phone
- (909) 625-7207
- NPI assigned
- May 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 108291 | CA | |
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 129674 | CA | Primary |
Addresses
Primary practice location
790 E Bonita Ave
Pomona, CA 91767-1906
Mailing address
12223 Highland Ave # 106-354
Rancho Cucamonga, CA 91739-2574
Phone (909) 293-9265
Other practice location 1
232 Harrison Ave Ste H
Claremont, CA 91711-4323
Phone (909) 293-9265
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 |
|---|---|---|---|
| 108291 | CA | MD | Mental Health Counselor |
| 129674 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villanueva Therapy and Wellness Group Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
8291 Utica Ave
Ste 102
Rancho Cucamonga, CA 91730
Phone (909) 727-2577
12223 Highland Ave
#106354
Rancho Cucamonga, CA 91739
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Rancho Cucamonga, CA
- NPI 1639926611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1972168763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12223 HIGHLAND AVE # 106-354",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917392574",
"telephone_number": "909-293-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 E BONITA AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917671906",
"telephone_number": "909-625-7207"
}
],
"practiceLocations": [
{
"address_1": "232 Harrison Ave Ste H",
"address_purpose": "LOCATION",
"city": "Claremont",
"state": "CA",
"postal_code": "917114323",
"country_code": "US",
"telephone_number": "909-293-9265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "DANIEL",
"middle_name": "RICARDO",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "108291",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "129674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.