Individual
CARMELA VILLARIN IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1819 WESTERN AVE, SAN BERNARDINO, CA 92411-1307
(909) 898-5101
(833) 973-6254
Mailing address
1819 WESTERN AVE, 1819 WESTERN AVE N, SAN BERNARDINO, CA 92411-1307
(909) 898-5101
(833) 973-6254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP22782
CA
363LF0000X
Family Nurse Practitioner
22782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EFF.6/3/13-MORENOVAL
—
CA
05
—
EFF.6/3/13-RIALT,FON
—
CA
05
—
EFF.6/3/13-S&N.RIVER
—
CA
05
—
EFF.6/4/13-ADELANTO
—
CA
05
—
EFF.6/4/13-SB,ONTARI
—
CA
01
—
P01282955/DU4034
RAILROAD MEDICARE
CA
Enumeration date
04/26/2013
Last updated
08/03/2026
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