MR. CARLOS ISAAC VILLARREAL PA
NPI 1629301601
Physician Assistant in Los Angeles, CA

Active since September 09, 2009PECOS Enrolled
83.24/100
CMS Quality Rating
3612 1/2 E 1ST ST, LOS ANGELES, CA 90063(323) 264-7796(323) 264-7778 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2021, Dec 1, 2021, Nov 16, 2015 (3 updates tracked since 2015).

About Mr. Carlos Isaac Villarreal Pa NPPES

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

MR. CARLOS ISAAC VILLARREAL PA (NPI 1629301601) is an individual physician assistant in Los Angeles, California, licensed in California (20538) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629301601
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CARLOS ISAAC VILLARREALCredential: PA
Location Address3612 1/2 E 1ST STLos Angeles, CA 90063-2326
Mailing Address3612 1/2 E 1st StLos Angeles, CA 90063-2326 · (626) 824-8461
Fax(323) 264-7778
Sole ProprietorYes
Enumeration DateSeptember 9, 2009
Last NPPES UpdateDecember 15, 20213 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
NPI 1629301601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 20538
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3612 1/2 E 1ST ST, Los Angeles, CA 90063

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Carlos Isaac Villarreal Pa 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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
216 services55 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
179 services21 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
168 services20 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
152 services27 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
141 services53 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
138 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90063 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Gastrostomy/jejunostomy tube, low-profile, any material, any type, each B4088
Other-Enteral and Parenteral · category OB006N
1 supplier29 claims29 services$27.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Podiatrist (Foot & Ankle Surgery)
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Physician Assistant
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Physician Assistant
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Physician Assistant
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Nurse Practitioner (Family)
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Internal Medicine (Critical Care Medicine)
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Podiatrist (Foot & Ankle Surgery)
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Nurse Practitioner (Family)
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629301601, enumerated as an "individual" on September 09, 2009.

The provider is located at 3612 1/2 E 1ST ST LOS ANGELES, CA 90063 and the phone number is (323) 264-7796.

Physician Assistant with taxonomy code 363A00000X.