GLEN VILLANUEVA D.O.
NPI 1922018647
Family Medicine in Livingston, CA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
600 B ST, LIVINGSTON, CA 95334(209) 850-3500(209) 850-3499 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2020, Dec 4, 2017 (2 updates tracked since 2017).

About Glen Villanueva D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN VILLANUEVA D.O. (NPI 1922018647) is an individual family medicine provider in Livingston, California, licensed in California (20A6969) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1922018647
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGLEN VILLANUEVACredential: D.O.
Location Address600 B STLivingston, CA 95334-9593
Mailing Address600 B StLivingston, CA 95334-9593 · (209) 850-3500 · Fax (209) 850-3499
Fax(209) 850-3499
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 8, 2006
Last NPPES UpdateMay 7, 20202 updates tracked since enumeration
NPPES CertifiedMay 7, 2020
NPI 1922018647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A6969
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
600 B ST, Livingston, CA 95334

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Glen Villanueva D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072544345
PECOS Enrollment IDI20050825001088
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
71 services57 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
28 services21 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
23 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95334 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
600 B ST
LIVINGSTON, CA 95334
Dental Hygienist
600 B ST
LIVINGSTON, CA 95334
Physician Assistant
600 B ST
LIVINGSTON, CA 95334
Physician Assistant
600 B ST
LIVINGSTON, CA 95334
Pharmacist
600 B ST
LIVINGSTON, CA 95334
Dentist
600 B ST
LIVINGSTON, CA 95334
Dentist
600 B ST
LIVINGSTON, CA 95334
Dentist (General Practice)
600 B ST
LIVINGSTON, CA 95334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Villanueva's NPI number?

The NPI number for Glen Villanueva is 1922018647. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Glen Villanueva located?

Glen Villanueva practices at 600 B St, Livingston, CA 95334. The listed phone number is (209) 850-3500.

What is Glen Villanueva's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Glen Villanueva enrolled in Medicare?

Yes. Glen Villanueva is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Glen Villanueva was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.