Look up the most recent NPI and PECOS records

Joanna Macalalad Villamater

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

100 Ucla Medical Plaza Suite 730, Los Angeles, CA 90095-8358

PECOS Enrollment

This provider is enrolled in PECOS as JOANNA VILLAMATER.

Based on the most recent information from CMS, provider Joanna Macalalad Villamater is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1861906356
Provider Type
Individual
Full Name
Villamater, Joanna Macalalad
Credential
RN, NP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/21/2017
Last Updated
9/8/2022

Contact Information

Practice Location

100 Ucla Medical Plaza Suite 730, Los Angeles, CA 90095-8358

(310) 206-8232

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LA2100X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95007434 California
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95007434 California

Joanna Macalalad Villamater

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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