Hector J Villanueva (NPI# 1497899710, PAC ID# 4880873173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1497899710 |
| PAC ID by PECOS | 4880873173 |
| Professional Enrollment ID | I20110119000143 |
| Full Name | Hector J Villanueva |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
845 N Lark Ellen Ave West Covina CA 91791-1069 |
| Phone Number | 6263395451 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 845 N Lark Ellen Ave, West Covina, CA 91791-1069 | 6263395451 | KND DEVELOPMENT 59 LLC |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shayna M Tisdall | Physician Assistant | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Street Address |
845 N LARK ELLEN AVE |
| City | WEST COVINA |
| State | CA |
| Zip | 91791-1069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harold Lee Laue Jr. | Chiropractic | 855 N Lark Ellen Ave, Suite C 5, West Covina, CA 91791-1099 | |
| Kenny Huang | Podiatry | 855 N Lark Ellen Ave C, West Covina, CA 91791-1099 | |
| Ronald Joseph Cervantes | Physical Therapy | United Therapy Network Inc | 855 N Lark Allen Ave 1st Floor, West Covina, CA 91791-1099 |
| Jessika C Martinez | Optometry | 450 A N Azusa Ave, West Covina, CA 91791-1355 | |
| Mahmoud Matin | Chiropractic | Pain Management Care and Chiropractic Clinic Inc | 1414 S Azusa Ave, West Covina, CA 91791-4088 |
| City | WEST COVINA |
| Zip Code | 91791 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WEST COVINA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Hector J Villanueva.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.