DR. HERMAN ARTHUR VILLALBA MD
NPI 1528224201
Family Medicine in Los Angeles, CA

Active since August 01, 2008PECOS Enrolled
4950 W SUNSET BLVD FL 4, DEPT OF FAMILY MEDICINE, LOS ANGELES, CA 90027(800) 954-8000 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Herman Arthur Villalba Md NPPES

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

DR. HERMAN ARTHUR VILLALBA MD (NPI 1528224201) is an individual family medicine provider in Los Angeles, California, licensed in California (A103575) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528224201
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HERMAN ARTHUR VILLALBACredential: MD
Location Address4950 W SUNSET BLVD FL 4, DEPT OF FAMILY MEDICINELos Angeles, CA 90027-5822
Mailing Address4950 W Sunset Blvd Fl 4, Dept Of Family MedicineLos Angeles, CA 90027-5822 · (800) 954-8000
Sole ProprietorYes
Enumeration DateAugust 1, 2008
✔ NPI 1528224201 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 · A103575
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.
4950 W SUNSET BLVD FL 4, Los Angeles, CA 90027

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Herman Arthur Villalba Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Herman Villalba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
333 MERCY AVE
Merced, CA 95340
  • Reassigned Medicare billing, California enrollment
  • 126 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 90027 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.

Other Providers at the Same Location NPPES 10

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

Family Medicine
4950 W SUNSET BLVD FL 4
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4950 W SUNSET BLVD FL 4
LOS ANGELES, CA 90027
Family Medicine
4950 W SUNSET BLVD FL 4
LOS ANGELES, CA 90027
Family Medicine
4950 W SUNSET BLVD FL 4
LOS ANGELES, CA 90027
Family Medicine
4950 W SUNSET BLVD FL 4
LOS ANGELES, CA 90027
Family Medicine
4950 W SUNSET BLVD FL 4
LOS ANGELES, CA 90027
Family Medicine
4950 W SUNSET BLVD FL 4
LOS ANGELES, CA 90027
Family Medicine (Adult Medicine)
4950 W SUNSET BLVD FL 4
LOS ANGELES, CA 90027

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 Herman Villalba's NPI number?

The NPI number for Herman Villalba is 1528224201. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Herman Villalba located?

Herman Villalba practices at 4950 W Sunset Blvd Fl 4 Dept Of Family Medicine, Los Angeles, CA 90027. The listed phone number is (800) 954-8000.

What is Herman Villalba's specialty?

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

Is Herman Villalba enrolled in Medicare?

Yes. Herman Villalba is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Herman Villalba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Herman Villalba reassigns Medicare benefits to Merced Hospitalist Medical Group, Inc. (Merced, 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 Herman Villalba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Herman Villalba accept?

Health plans from Blue Cross and Blue Shield of Texas list Herman Villalba as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Herman Villalba was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.