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

Shine Villanueva Simon, FNP

Individual provider Family Nurse Practitioner · NPI 1659147700

Shine Villanueva Simon, FNP is a Nurse Practitioner in Cupertino, California. Qualified in 2023, 3 years ago. Practices with Health Diagnostics of California a Professional Corporation, a 175-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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

19600 Vallco Pkwy Ste 170
Cupertino, CA 95014-7136
Phone: (669) 900-3424
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95028185 (CA)

Record details

NPI number1659147700
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedNovember 29, 2023
Last updated in NPPESNovember 29, 2023
Certification dateAugust 2, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Health Diagnostics Of California A Professional Corporation — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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