Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

THE VILLA MEDICAL GROUP PLLC
NPI 1306771373
Clinic/Center - Medical Specialty in Vancouver, WA

Active since June 12, 2026
15203 NE 72ND AVE, VANCOUVER, WA 98686(360) 209-4449 Get Directions Write a Review

NPPES record added: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Villa Medical Group Pllc NPPES

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

THE VILLA MEDICAL GROUP PLLC (NPI 1306771373) is a healthcare organization registered as a medical specialty in Vancouver, Washington and active in the NPI registry since June 2026. The organization lists Daniel Roa-trebol, Owner, as its authorized official.

NPPES Registry Identity

NPI1306771373
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameTHE VILLA MEDICAL GROUP PLLC
Location Address15203 NE 72ND AVEVancouver, WA 98686-1929
Mailing Address15203 Ne 72nd AveVancouver, WA 98686-1929
Organization SubpartNo
Authorized OfficialDaniel Roa-trebolOwner · (541) 720-8789
Enumeration DateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1306771373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
15203 NE 72ND AVE, Vancouver, WA 98686

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
15203 NE 72ND AVE
VANCOUVER, WA 98686
Nurse Practitioner (Psychiatric/Mental Health)
15203 NE 72ND AVE
VANCOUVER, WA 98686

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 The Villa Medical Group PLLC's NPI number?

The NPI number for The Villa Medical Group PLLC is 1306771373. It was assigned to this organization in the NPPES registry on June 12, 2026.

Where is The Villa Medical Group PLLC located?

The Villa Medical Group PLLC is located at 15203 NE 72nd Ave, Vancouver, WA 98686. The listed phone number is (360) 209-4449.

What is The Villa Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for The Villa Medical Group PLLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.