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JACOB ADAM VILLARREAL
NPI 1033941430
Nurse Practitioner - Family in Los Angeles, CA

Active since August 15, 2024PECOS Enrolled
501 S ATLANTIC BLVD, LOS ANGELES, CA 90022(323) 268-9191(323) 268-9119 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 27, 2024, Aug 15, 2024 (2 updates tracked since 2024).

About Jacob Adam Villarreal NPPES

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

JACOB ADAM VILLARREAL (NPI 1033941430) is an individual family provider in Los Angeles, California, licensed in California (95031257) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033941430
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB ADAM VILLARREAL
Location Address501 S ATLANTIC BLVDLos Angeles, CA 90022-2621
Mailing Address501 S Atlantic BlvdLos Angeles, CA 90022-2621 · (323) 268-9191 · Fax (323) 268-9119
Phone(323) 268-9191
Fax(323) 268-9119
Sole ProprietorNo
Enumeration DateAugust 15, 2024
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1033941430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95031257
501 S ATLANTIC BLVD, Los Angeles, CA 90022
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Adam Villarreal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Villarreal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Via Care Community Health Center
Same address
Federally Qualified Health Center (FQHC)
507 S ATLANTIC BLVD
Los Angeles, CA 90022
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1497001226 (323) 268-9191

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90022 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 7

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

BIENVENIDOS CHILDREN'S CENTER
Community/Behavioral Health
501 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Los Angeles County (626) 696-1270
MARTHA DEL CARMEN MEJIA ORTA ACSW
Social Worker (Clinical)
501 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 268-9191
VIA CARE COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
501 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Los Angeles County (233) 268-9191
MS. CATHERINE MARY WILSON
Counselor (Addiction (Substance Use Disorder))
501 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 268-5442
CARLOS AUGUSTO REYES-RUIZ MSW
Counselor (Mental Health)
501 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 268-9191
BIENVENIDOS CHILDREN CENTER, INC
Community/Behavioral Health
501 S ATLANTIC BLVD
EAST LOS ANGELES, CA 90022
Los Angeles County (323) 268-5442
CHRISTINA HOPE IRONS RN
Registered Nurse (Community Health)
501 S ATLANTIC BLVD
EAST LOS ANGELES, CA 90022
Los Angeles County (323) 268-9191

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 Jacob Villarreal's NPI number?

The NPI number for Jacob Villarreal is 1033941430. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Where is Jacob Villarreal located?

Jacob Villarreal practices at 501 S Atlantic Blvd, Los Angeles, CA 90022. The listed phone number is (323) 268-9191.

What is Jacob Villarreal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacob Villarreal enrolled in Medicare?

Yes. Jacob Villarreal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Villarreal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Villarreal reassigns Medicare benefits to Via Care Community Health Center (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Villarreal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Villarreal was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.