MEDICARE: CHRISTINE VILLAROSA FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95008460	CA

General Provider Information

NPI Number	:	1003314774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE VILLAROSA FNP-C

Provider Business Mailing Address
First Line	:	195 PAGE MILL RD STE 103
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94306-2073
Country	:	US
Telephone Number	:	888-731-8994
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 S FAIRFAX AVE STE 200&300
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-2166
Country	:	US
Telephone Number	:	909-679-3482
Fax Number	:	844-440-2410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2018
Last Update Date	:	02/24/2026

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