DR. JOSE JUAN VICENS-VILLAFANA M.D.
NPI 1285989715
Obstetrics & Gynecology in Laguna Hills, CA

Q: What is Jose Vicens-villafana's NPI number?

The NPI number for Jose Vicens-villafana is 1285989715. It was assigned to this individual provider in the NPPES registry on July 20, 2012.

Q: What is Jose Vicens-villafana's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since July 20, 2012PECOS EnrolledAccepts Medicare Assignment

84.41/100

CMS Quality Rating

24411 HEALTH CENTER DR STE 200, LAGUNA HILLS, CA 92653(949) 829-5500 Get Directions Write a Review

NPPES record last updated: July 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 4, 2023, Dec 2, 2021, Jun 8, 2021 and 1 more (4 updates tracked since 2016).

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About Dr. Jose Juan Vicens-villafana M.d. NPPES

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

DR. JOSE JUAN VICENS-VILLAFANA M.D. (NPI 1285989715) is an individual obstetrics & gynecology provider in Laguna Hills, California, licensed in New York (265816) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1285989715

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. JOSE JUAN VICENS-VILLAFANACredential: M.D.

Location Address24411 HEALTH CENTER DR STE 200Laguna Hills, CA 92653-3633

Mailing Address24411 Health Center Dr Ste 200Laguna Hills, CA 92653-3633 · (949) 829-5500

Phone(949) 829-5500

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 20, 2012

Last NPPES UpdateJuly 4, 20234 updates tracked since enumeration

NPPES CertifiedJuly 4, 2023

✔ NPI 1285989715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NY · 265816

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 265816 (NY)

24411 HEALTH CENTER DR STE 200, Laguna Hills, CA 92653

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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. Jose Juan Vicens-villafana 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 ID4880826460

PECOS Enrollment IDI20230711001816

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 Jose Vicens-villafana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hoag Clinic

13 mi

Primary Care

510 SUPERIOR AVE
Newport Beach, CA 92663

Reassigned Medicare billing, California enrollment
529 clinicians in this Medicare group

NPI 1942799523 (949) 791-3001

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 5

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.

42 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

20 services20 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

14 services14 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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.

84.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.67

Promoting Interoperability

100

Improvement Activities

Cost

57.36

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.

TERESA L THOMAS-WHITMAN N.P.

Nurse Practitioner (Women's Health)