MR. JIMI VILLA RADT I
NPI 1881372845
Counselor - Addiction (Substance Use Disorder) in Santa Ana, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since July 10, 2023

1207 E FRUIT ST, SANTA ANA, CA 92701(714) 953-9373(714) 953-7573 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 16, 2023, Jul 10, 2023 (2 updates tracked since 2023).

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About Mr. Jimi Villa Radt I NPPES

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

MR. JIMI VILLA RADT I (NPI 1881372845) is an individual addiction (substance use disorder) provider in Santa Ana, California, licensed in California (R1509010523) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1881372845

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. JIMI VILLACredential: RADT I

Location Address1207 E FRUIT STSanta Ana, CA 92701-4296

Mailing Address2542 E 218th PlCarson, CA 90810-1703 · (310) 924-8226

Phone(714) 953-9373

Fax(714) 953-7573

Sole ProprietorYes

Enumeration DateJuly 10, 2023

Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration

NPPES CertifiedAugust 16, 2023

✔ NPI 1881372845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · R1509010523

1207 E FRUIT ST, Santa Ana, CA 92701

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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.

ELENA CAVAZOS

Counselor (Mental Health)