GLEN VILLANUEVA (NPI# 1922018647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922018647 |
| Entity Type | Individual |
| Full Name | GLEN VILLANUEVA |
| Credential | D.O. |
| Practice Address |
600 B St Livingston CA 95334-9593 |
| Practice Telephone | 2098503500 |
| Practice Fax Number | 2098503499 |
| Mailing Telephone | 2098503500 |
| Mailing Fax Number | 2098503499 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A6969 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
600 B ST |
| City | LIVINGSTON |
| State | CA |
| Zip Code | 95334-9593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690120 | Andrea Elizabeth-mehl Zimmerman | Registered Nurse | 600 B St, Livingston, CA 95334-9593 | 2020-02-11 |
| 1063058824 | Jade Rose Puckett | Dental Hygienist | 600 B St, Livingston, CA 95334-9593 | 2019-11-26 |
| 1457994931 | Taranvir Kaur Cheema | Dentist | 600 B St, Livingston, CA 95334-9593 | 2019-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311941 | Kevin Maurice Mcgauley | Nurse Practitioner | Livingston Community Health, 1140 Main Street, Livingston, CA 95334 | 2018-09-28 |
| 1225568801 | Jetinder Singh | Licensed Vocational Nurse | 1820 Sun Valley Ave, Livingston, CA 95334 | 2017-06-15 |
| 1114318821 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 474 Winton Pkwy, Livingston, CA 95334 | 2015-02-17 |
| 1780015677 | Mark Kallini | Community Health Worker | 1201 Campbell Boulevard, Livingston, CA - CALIFORNIA 95334 | 2013-12-03 |
| 1780611509 | Ofelia G Ortiz | Specialist | 1140 Main St, Livingston, CA 95334 | 2006-06-27 |
| 1508340613 | Nareeta Sharma | Pharmacist | 500 Main St, Livingston, CA 95334 | 2018-09-24 |
| 1639663248 | Amandeep Kaur Johal | Registered Nurse | 1140 Main St, Livingston, CA 95334 | 2018-06-18 |
| 1548790314 | Lakhbir Bikramjit Singh Sodhi | Nurse Practitioner | 2275 F St Ste 1&2, Livingston, CA 95334 | 2017-06-14 |
| 1154717213 | Rohit Arora | Internal Medicine | 1140 Main St, Livingston, CA 95334 | 2015-04-15 |
| 1154529949 | Jeffrey Michael Carter | Dentist | 1112 Main St, Livingston, CA 95334 | 2007-07-03 |
| Find all providers in zip 95334 | ||||
| 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 |
|---|---|---|---|---|
| 1508488156 | Urgent Health Solutions Livingston | Family Medicine | 1615 W Church St Ste 100, Livingston, TX 77351-8862 | 2020-05-16 |
| 1801381934 | Park Health Care Pllc | Family Medicine | 1001 River Dr Ste 100, Livingston, MT 59047-3716 | 2018-07-01 |
| 1669986030 | Ran Health Services, Inc. | Family Medicine | 517 Main St Ste A, Livingston, CA 95334-1427 | 2017-11-21 |
| 1376922252 | Sandeep Pinnapureddy | Family Medicine | 204 W Park Ste 200, Livingston, TX 77351-9337 | 2015-05-25 |
| 1487975447 | Johneca Rochelle Broussard | Family Medicine | 309 Highway 59 South Loop, Livingston, TX 77351 | 2010-06-14 |
| 1346563020 | Stephen Patrick Mcculloh | Family Medicine | 13960 Florida Blvd., Livingston, LA 70754 | 2010-03-09 |
| 1407097470 | Lauren Gillis Moore | Family Medicine | 13960 Florida Boulevard, Livingston, LA 70754 | 2009-03-20 |
| 1245486505 | Blackbelt Clinic | Family Medicine | 1302 North Washington, Livingston, AL 35470-0000 | 2008-08-18 |
| 1821256314 | James Gordon Allison | Family Medicine | 25 Willow Bend Lane, Livingston, MT 59047 | 2008-05-30 |
| 1174701916 | Livingston After Hours & Occupational Medicine LLC | Family Medicine | 14292 Florida Boulevard, Livingston, LA 70754 | 2008-02-04 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 95334 |
Please comment or provide details below to improve the information on GLEN VILLANUEVA.
| 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.