MARK VILLA PMHNP
NPI 1467258640
Nurse Practitioner - Psychiatric/Mental Health in Santa Ana, CA
About Mark Villa Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK VILLA PMHNP (NPI 1467258640) is an individual psychiatric/mental health provider in Santa Ana, California, licensed in California (95033742) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark Villa Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Villa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gardena, CA 90248
- Reassigned Medicare billing, California enrollment
- 375 clinicians in this Medicare group
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 92707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ANA, CA 92707
SANTA ANA, CA 92707
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 Mark Villa's NPI number?
The NPI number for Mark Villa is 1467258640. It was assigned to this individual provider in the NPPES registry on February 20, 2025.
Where is Mark Villa located?
Mark Villa practices at 5 Hutton Centre Dr Ste 950, Santa Ana, CA 92707. The listed phone number is (855) 434-7763.
What is Mark Villa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mark Villa enrolled in Medicare?
Yes. Mark Villa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Villa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Villa reassigns Medicare benefits to Ehab Yacoub MD Inc. (Gardena, 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 Mark Villa'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 Mark Villa was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mark Villa, PMHNP · NPI 1467258640
Psychiatric/Mental Health physician in Santa Ana, California. Individual provider, active in the CMS NPPES registry since February 20, 2025.
## Identity
- **NPI:** 1467258640 (Entity type: Individual)
- **Enumerated:** February 20, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95033742 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5 HUTTON CENTRE DR STE 950, Santa Ana, CA 92707-8714
- **Phone:** (855) 434-7763
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ehab Yacoub MD Inc. (NPI 1417373713, Gardena, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1467258640) · Data from the CMS NPPES public registry.