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SAMUEL JESSE VILLA
NPI 1326651399
Social Worker - Clinical in Fresno, CA

Active since August 28, 2020PECOS Enrolled
3451 W SHAW AVE, FRESNO, CA 93711(559) 314-3519 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, Jun 1, 2023, May 24, 2023 and 1 more (4 updates tracked since 2020).

About Samuel Jesse Villa NPPES

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

SAMUEL JESSE VILLA (NPI 1326651399) is an individual clinical provider in Fresno, California, licensed in California (132450) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1326651399
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMUEL JESSE VILLA
Location Address3451 W SHAW AVEFresno, CA 93711-3242
Mailing Address4546 W Monte Verde AveVisalia, CA 93277-8894 · (559) 623-4139
Phone(559) 314-3519
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 28, 2020
Last NPPES UpdateAugust 14, 20254 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1326651399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 132450
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X · License 106774 (CA)
3451 W SHAW AVE, Fresno, CA 93711
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Jesse Villa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527569508
PECOS Enrollment IDI20250830000052
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93711 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
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 15

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

FLOR MIRIAM CHAVEZ
Counselor (Professional)
3451 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 202-3423
JACQUELINE CAMPOS APCC: 8325
Counselor (Professional)
3451 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 492-8327
MR. DAVID WARD BONESTEEL
Social Worker (Clinical)
3451 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 492-8327
DARRELL DWIGHT ALLEN APCC
Counselor (Professional)
3451 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 492-8327
NATALIE RODRIGUEZ MEJIA LMFT
Marriage & Family Therapist
3451 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 492-8327
FAITH E. HAYDEN
Student in an Organized Health Care Education/Training Program
3451 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 457-6960
MR. RAMON ANDRES MENDOZA JR. ASW
Social Worker
3451 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 202-3423
HARNEET BRAICH
Marriage & Family Therapist
3451 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 202-3423

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 Samuel Villa's NPI number?

The NPI number for Samuel Villa is 1326651399. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Samuel Villa located?

Samuel Villa practices at 3451 W Shaw Ave, Fresno, CA 93711. The listed phone number is (559) 314-3519.

What is Samuel Villa's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samuel Villa enrolled in Medicare?

Yes. Samuel Villa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Villa was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.