ADAM CHRISTOPHER VILLA MD
NPI 1720669096
Student in an Organized Health Care Education/Training Program in Vallejo, CA
About Adam Christopher Villa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADAM CHRISTOPHER VILLA MD (NPI 1720669096) is an individual student in an organized health care education/training program in Vallejo, California and active in the NPI registry since April 2021. 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)
Adam Christopher Villa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Adam Villa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VALLEJO, CA 94589
VALLEJO, CA 94589
VALLEJO, CA 94589
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 Adam Villa's NPI number?
The NPI number for Adam Villa is 1720669096. It was assigned to this individual provider in the NPPES registry on April 19, 2021.
Where is Adam Villa located?
Adam Villa practices at 975 Sereno Drive Family Medicine Department, Vallejo, CA 94589. The listed phone number is (707) 651-4071.
What is Adam Villa's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Adam Villa enrolled in Medicare?
Yes. Adam Villa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Adam Villa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Villa reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Adam 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 Adam Villa was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Adam Christopher Villa, MD · NPI 1720669096
Student in an Organized Health Care Education/Training Program provider in Vallejo, California. Individual provider, active in the CMS NPPES registry since April 19, 2021.
## Identity
- **NPI:** 1720669096 (Entity type: Individual)
- **Enumerated:** April 19, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 975 SERENO DRIVE, FAMILY MEDICINE DEPARTMENT, Vallejo, CA 94589
- **Phone:** (707) 651-4071
## 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:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1720669096) · Data from the CMS NPPES public registry.