Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Anthony Felipe Banuelos Villa, FNP

Individual provider Family Nurse Practitioner · NPI 1912534033

Mr. Anthony Felipe Banuelos Villa, FNP is a Nurse Practitioner in Los Angeles, California. Qualified in 2015, 11 years ago. Practices with St John's Community Health, a 148-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3437 Ellison St
Los Angeles, CA 90063-1901
Phone: (626) 375-5566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95014143 (CA)

Record details

NPI number1912534033
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedMarch 26, 2020
Last updated in NPPESMarch 26, 2020
Certification dateMarch 26, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St. John'S Community Health — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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