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SOPHIA VILLARREAL-ANTILLON NURSE PRACTITIONER
NPI 1841998341
Nurse Practitioner - Family in Los Angeles, CA

Active since February 23, 2023PECOS Enrolled
1731 E 120TH ST, LOS ANGELES, CA 90059(951) 333-0073 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2023, Feb 23, 2023 (2 updates tracked since 2023).

About Sophia Villarreal-antillon Nurse Practitioner NPPES

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

SOPHIA VILLARREAL-ANTILLON NURSE PRACTITIONER (NPI 1841998341) is an individual family provider in Los Angeles, California, licensed in California (95024444) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841998341
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOPHIA VILLARREAL-ANTILLONCredential: NURSE PRACTITIONER
Location Address1731 E 120TH STLos Angeles, CA 90059-3051
Mailing Address1775 Rosewood WayUpland, CA 91784-1766 · (951) 333-0073
Phone(951) 333-0073
Sole ProprietorYes
Enumeration DateFebruary 23, 2023
Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
✔ NPI 1841998341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95024444
1731 E 120TH ST, Los Angeles, CA 90059
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Villarreal-antillon Nurse Practitioner 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 Sophia Villarreal-antillon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wound Healing Care Specialists, Inc.
40 mi
Surgery
3536 CONCOURS STE 225
Ontario, CA 91764
  • Reassigned Medicare billing, California enrollment
  • 27 clinicians in this Medicare group
NPI 1306317961 (909) 944-0486

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 90059 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.

MADISON KAUANOE WILLIAMS MD
Psychiatry & Neurology (Psychiatry)
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
OZICHI AMOBI
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 568-3347
CHRIS NOLASCO
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 568-3347
SAMUEL KIM MD
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-2480
KATIA CAMPOS
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
TIFFANY MOLINA TAN
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
JASMINE ALEXANDRIA HOLLOWAY
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
SHARDAE BLANDIN
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800

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 Sophia Villarreal-antillon's NPI number?

The NPI number for Sophia Villarreal-antillon is 1841998341. It was assigned to this individual provider in the NPPES registry on February 23, 2023.

Where is Sophia Villarreal-antillon located?

Sophia Villarreal-antillon practices at 1731 E 120th St, Los Angeles, CA 90059. The listed phone number is (951) 333-0073.

What is Sophia Villarreal-antillon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sophia Villarreal-antillon enrolled in Medicare?

Yes. Sophia Villarreal-antillon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophia Villarreal-antillon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Villarreal-antillon reassigns Medicare benefits to Wound Healing Care Specialists, Inc. (Ontario, 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 Sophia Villarreal-antillon'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 Sophia Villarreal-antillon was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.