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DR. SERGIO BANUELOS VILLEGAS M.D.
NPI 1063463339
Family Medicine in Los Angeles, CA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
1701 E CESAR CHAVEZ AVE, SUITE 402, LOS ANGELES, CA 90033(323) 317-9200(323) 317-9206 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sergio Banuelos Villegas M.d. NPPES

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

DR. SERGIO BANUELOS VILLEGAS M.D. (NPI 1063463339) is an individual family medicine provider in Los Angeles, California, licensed in California (G65363) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1987).

NPPES Registry Identity

NPI1063463339
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SERGIO BANUELOS VILLEGASCredential: M.D.
Location Address1701 E CESAR CHAVEZ AVE, SUITE 402Los Angeles, CA 90033-2464
Mailing Address5823 York Blvd Ste 3Los Angeles, CA 90042-2634 · (323) 255-5643 · Fax (323) 254-2158
Phone(323) 317-9200
Fax(323) 317-9206
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1987
Enumeration DateMay 12, 2006
Last NPPES UpdateJanuary 11, 2018
✔ NPI 1063463339 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 · G65363
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.
1701 E CESAR CHAVEZ AVE, Los Angeles, CA 90033
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Other Identifiers 3

Other00G653630CA · Blue Shield
Other080052215GA · Medicare Railroad
Medicaid00G653630CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sergio Banuelos Villegas M.d. 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 ID6406040476
PECOS Enrollment IDI20101103000980
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 Reassignments

2

Medicare enrollment records show Sergio Villegas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Care Specialists Medical Corporation
Same address
Family Medicine
1701 E CESAR CHAVEZ AVENUE, SUITE 402
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 28 clinicians in this Medicare group
NPI 1649223777 (323) 317-9200
Altais Medical Group - Riverside, Inc.
48 mi
Family Medicine
4646 BROCKTON AVE STE 201
Riverside, CA 92506
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group
NPI 1518629575 (626) 840-1359

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

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services36 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
40 services16 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%1,116 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
99%139 patients5/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
67%57 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
16%270 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
53%270 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
27%270 patients2/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims36 services$6.49 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$20.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

EDITH ARELLANO
Marriage & Family Therapist
1701 E CESAR CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (213) 264-1106
ROBERT P KROCHMAL M.D.
Family Medicine
1701 E CESAR CHAVEZ AVE, SUITE 402
LOS ANGELES, CA 90033
Los Angeles County (323) 317-9200
DR. DOMINIQUE LANELLE LUCKEY M.D.
Obstetrics & Gynecology (Gynecology)
1701 E CESAR CHAVEZ AVE, SUITE #402
LOS ANGELES, CA 90033
Los Angeles County (323) 317-9200
MS. MAYRA LORENA AROCHE PA-C
Physician Assistant (Medical)
1701 E CESAR CHAVEZ AVE, SUITE 230
LOS ANGELES, CA 90033
Los Angeles County (323) 226-1100
MAUREEN MAVRINAC M.D.
Family Medicine
1701 E CESAR CHAVEZ AVE, SUITE 230
LOS ANGELES, CA 90033
Los Angeles County (323) 226-1100
IRMA WARNECKE M.D.
Family Medicine
1701 E CESAR CHAVEZ AVE, SUITE 230
LOS ANGELES, CA 90033
Los Angeles County (323) 226-1100
EDWARD CASTRO M.D.
Family Medicine
1701 E CESAR CHAVEZ AVE, SUITE 230
LOS ANGELES, CA 90033
Los Angeles County (323) 226-1100
MAURICIO BUENO M.D.
Family Medicine
1701 E CESAR CHAVEZ AVE, SUITE 402
LOS ANGELES, CA 90033
Los Angeles County (323) 317-9200

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 Sergio Villegas's NPI number?

The NPI number for Sergio Villegas is 1063463339. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Sergio Villegas located?

Sergio Villegas practices at 1701 E Cesar Chavez Ave Suite 402, Los Angeles, CA 90033. The listed phone number is (323) 317-9200.

What is Sergio Villegas's specialty?

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

Is Sergio Villegas enrolled in Medicare?

Yes. Sergio Villegas 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.

Which organizations bill Medicare for Sergio Villegas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Villegas reassigns Medicare benefits to 2 organizations: Family Care Specialists Medical Corporation (Los Angeles, CA) and Altais Medical Group - Riverside, Inc. (Riverside, CA). Each 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 Sergio Villegas'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 Sergio Villegas was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.