MR. CRESOLITO ALCANTARA VILLANUEVA NPI 1083186639

NPI Information

NPI: 1083186639
Provider Name: MR. CRESOLITO ALCANTARA VILLANUEVA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2339 W HAMMER LN
STOCKTON, CA
ZIP 95209
Phone: (209) 940-5901
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MR. Cresolito Alcantara Villanueva is a family nurse practitioner in Stockton, CA. MR. Cresolito Alcantara Villanueva NPI is 1083186639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2339 W HAMMER LN
STOCKTON, CA
ZIP 95209-368
Phone: (209) 940-5901

The NPI 1083186639 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2018 and was last updated on 11/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95010695	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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