MR. ANTHONY FELIPE BANUELOS VILLA


Address: 3437 Ellison St, Los Angeles, CA 90063-1901
Phone: 6263755566

MR. ANTHONY FELIPE BANUELOS VILLA (NPI# 1912534033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912534033
Entity Type Individual
Full Name MR. ANTHONY FELIPE BANUELOS VILLA
Credential FNP
Practice Address 3437 Ellison St
Los Angeles
CA 90063-1901
Practice Telephone 6263755566
Mailing Telephone 6263755566
Enumeration Date 2020-03-26
Last Update Date 2020-03-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95014143 CA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 3437 ELLISON ST
City LOS ANGELES
State CA
Zip Code 90063-1901

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053772814 Arturo Ibarra D.d.s. Inc Dentist 3604 East 1st Street, Los Angeles, CA 90063 2016-03-08
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1386082766 Esteban E. Torres High School Clinic Clinic/Center 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 2013-06-07
1780925495 Elena M Esparza Chiropractor 303 N Record Ave, Los Angeles, CA 90063 2013-03-05
1992068480 Elvia Nevarez Dental Assistant 3217 Ganahl St., Los Angeles, CA 90063 2012-06-19
1922397736 Lac Usc Medical Center General Acute Care Hospital 1334 Lotta Dr., Los Angeles, CA 90063 2011-04-01
1821398116 Jaime Armando Martinez Physician Assistant 3612 1/2 East First Street, Los Angeles, CA 90063 2010-11-02
1811100548 Albert Tarnier Touriel General Practice 105 So Rowan Ave, Los Angeles, CA 90063 2007-05-08
1871705376 Jose Luis Perez Md Inc General Practice 3000 E 1st Streest, Los Angeles, CA 90063 2007-05-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1528672110 Christopher Tria Coronel Nurse Practitioner 3435 Garden Ave, Los Angeles, CA 90039-1919 2020-09-01
1871119701 Carina Lizette Guerra Nurse Practitioner St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 2020-06-16
1548884216 En Route Medical Staffing LLC Nurse Practitioner 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451 2020-05-29
1922621432 Latasha Tracy Warren Nurse Practitioner 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 2020-05-19
1578184966 Shin Il Kim Nurse Practitioner 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 2020-04-27
1457971160 Karen Kim-chang Nurse Practitioner 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 2020-04-22
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1154957769 Maybel Deguzman Dumlao Nurse Practitioner 4371 Stewart Ave, Los Angeles, CA 90066-6133 2020-03-14
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Competitor

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City LOS ANGELES
Zip Code 90063

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Dataset Information

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.

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