DR. SERGIO BANUELOS VILLEGAS (NPI# 1063463339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063463339 |
| Entity Type | Individual |
| Full Name | DR. SERGIO BANUELOS VILLEGAS |
| Credential | M.D. |
| Practice Address |
1701 E Cesar Chavez Ave Suite 402 Los Angeles CA 90033-2464 |
| Mailing Address |
5823 York Blvd Ste 3 Los Angeles CA 90042-2634 |
| Practice Telephone | 3233179200 |
| Practice Fax Number | 3233179206 |
| Mailing Telephone | 3232555643 |
| Mailing Fax Number | 3232542158 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G65363 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE RAILROAD | 080052215 | 01 |
| CA | BLUE SHIELD | 00G653630 | 01 |
| CA | 00G653630 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811157571 | Sergio Andres Villegas | Family Medicine | 1710 E Saunders St # B440, Laredo, TX 78041-5443 | 2008-06-16 |
| Street Address |
1701 E CESAR CHAVEZ AVE SUITE 402 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-2464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326033804 | Dominique Lanelle Luckey | Obstetrics & Gynecology | 1701 E Cesar Chavez Ave, Suite #402, Los Angeles, CA 90033-2464 | 2005-09-12 |
| 1063950756 | Edith Arellano | Counselor | 1701 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2017-02-02 |
| 1326171273 | Mayra Lorena Aroche | Physician Assistant | 1701 E Cesar Chavez Ave, Suite 230, Los Angeles, CA 90033-2464 | 2007-03-13 |
| 1871604496 | Maria Esperanza Cifuentes-butler | Family Medicine | 1701 E Cesar Chavez Ave, Suite #230, Los Angeles, CA 90033-2464 | 2006-08-31 |
| 1851344949 | Daniel Carrillo Maldonado | Family Medicine | 1701 E Cesar Chavez Ave, Suite 402, Los Angeles, CA 90033-2464 | 2006-05-18 |
| 1427000850 | Maureen Mavrinac | Family Medicine | 1701 E Cesar Chavez Ave, Suite 230, Los Angeles, CA 90033-2464 | 2006-05-16 |
| 1679524292 | Irma Warnecke | Family Medicine | 1701 E Cesar Chavez Ave, Suite 230, Los Angeles, CA 90033-2464 | 2006-05-16 |
| 1891746665 | Claire H Koga | Family Medicine | 1701 E Cesar Chavez Ave, Suite 230, Los Angeles, CA 90033-2464 | 2006-05-15 |
| 1750332029 | Mauricio Bueno | Family Medicine | 1701 E Cesar Chavez Ave, Suite 402, Los Angeles, CA 90033-2464 | 2006-05-12 |
| 1750330817 | Edward Castro | Family Medicine | 1701 E Cesar Chavez Ave, Suite 230, Los Angeles, CA 90033-2464 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1376159939 | Margarette Morney-kuanyawo | Family Medicine | 515 S Fuller Ave, Los Angeles, CA 90036-3244 | 2020-09-18 |
| 1780207803 | Julia Solis | Family Medicine | 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 | 2020-05-22 |
| 1033739578 | Now Medical | Family Medicine | 1333 S Hill St, Los Angeles, CA 90015-3012 | 2020-04-24 |
| 1710514930 | Los Angeles Medical Center Foundation | Family Medicine | 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 | 2020-03-26 |
| 1740817212 | Quality Medical Group Inc | Family Medicine | 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 | 2020-03-25 |
| 1760012108 | Majid Sabour Md. PC. | Family Medicine | 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 | 2020-01-24 |
| 1164061461 | Sequoia Quality Health Inc | Family Medicine | 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 | 2020-01-03 |
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on DR. SERGIO BANUELOS VILLEGAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.