Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandria Therese Villanueva

Individual provider Family Nurse Practitioner · NPI 1710599345

Alexandria Therese Villanueva is a Nurse Practitioner in Los Angeles, California. Qualified in 2019, 7 years ago. Practices with Northeast Valley Health Corporation, a 76-clinician group and works from 2 locations. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

400 W 30th St
Los Angeles, CA 90007-3320
Phone: (213) 284-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17637 Gladesworth Ln, Canyon Country, CA 91387-3809 — (661) 993-7574

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95012484 (CA)

Record details

NPI number1710599345
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northeast Valley Health Corporation — 76 clinicians
Accepts Medicare assignment Not indicated

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