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JOHN FREDERICK VILLA AGACNP
NPI 1609406990
Nurse Practitioner - Acute Care in Sherman Oaks, CA

Active since January 25, 2020PECOS EnrolledAccepts Medicare Assignment
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403(661) 547-2368 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2025, Feb 5, 2025, Jan 25, 2020 (3 updates tracked since 2020).

About John Frederick Villa Agacnp NPPES

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

JOHN FREDERICK VILLA AGACNP (NPI 1609406990) is an individual acute care provider in Sherman Oaks, California, licensed in California (95033904) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609406990
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOHN FREDERICK VILLACredential: AGACNP
Location Address4929 VAN NUYS BLVDSherman Oaks, CA 91403-1702
Mailing Address4929 Van Nuys BlvdSherman Oaks, CA 91403-1702 · (661) 547-2368
Phone(661) 547-2368
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 25, 2020
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1609406990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95033904
4929 VAN NUYS BLVD, Sherman Oaks, CA 91403
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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 and accepts Medicare assignment

John Frederick Villa Agacnp 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 ID7416465059
PECOS Enrollment IDI20250805000051
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 91403 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 20

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

JEFFERY C PEAK M.D.
Anesthesiology
4929 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 550-0900
JOHN E. GLASSCO, MD, INC.
Pathology (Anatomic Pathology & Clinical Pathology)
4929 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-4561
SHERMAN OAKS CARDIOLOGY ASSOCIATES
Internal Medicine (Cardiovascular Disease)
4929 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-4530
SUSAN ANGIE TAMALE NP
Hospitalist
4929 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-2825
GAYANE DIANA BAKHARYAN ACSW
Social Worker (Clinical)
4929 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 817-3294
SUSAN WON PHARM.D
Pharmacist
4929 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-4556
RONALD PHILLIP BATACLAN NP
Nurse Practitioner (Acute Care)
4929 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 981-7111
MORGAN MCLEROY CRNA
Nurse Anesthetist, Certified Registered
4929 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Los Angeles County (818) 981-7111

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 John Villa's NPI number?

The NPI number for John Villa is 1609406990. It was assigned to this individual provider in the NPPES registry on January 25, 2020.

Where is John Villa located?

John Villa practices at 4929 Van Nuys Blvd, Sherman Oaks, CA 91403. The listed phone number is (661) 547-2368.

What is John Villa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is John Villa enrolled in Medicare?

Yes. John Villa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Villa was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.