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

Glen Villanueva, DO

Individual provider Family Medicine Physician · NPI 1922018647

Glen Villanueva, DO is a Family Practice in Livingston, California. Qualified in 1996, 30 years ago. Practices with Livingston Community Health, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

600 B St
Livingston, CA 95334-9593
Phone: (209) 850-3500
Fax: (209) 850-3499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A6969 (CA)

Record details

NPI number1922018647
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 8, 2006
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Livingston Community Health — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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