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JONATHAN VILLICANA PSYD
NPI 1891430245
Psychologist - Clinical in Los Angeles, CA

Active since April 30, 2022PECOS Enrolled
1625 SCHRADER BLVD, LOS ANGELES, CA 90028(213) 413-6666 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2024, Jul 28, 2023, Apr 30, 2022 (3 updates tracked since 2022).

About Jonathan Villicana Psyd NPPES

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

JONATHAN VILLICANA PSYD (NPI 1891430245) is an individual clinical provider in Los Angeles, California, licensed in California (34428) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891430245
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJONATHAN VILLICANACredential: PSYD
Location Address1625 SCHRADER BLVDLos Angeles, CA 90028-6213
Mailing AddressPo Box 5768Oxnard, CA 93031-5768
Phone(213) 413-6666
Sole ProprietorNo
Enumeration DateApril 30, 2022
Last NPPES UpdateJuly 1, 20243 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1891430245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 34428
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · HealthTaxonomy 103TH0004X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1625 SCHRADER BLVD, Los Angeles, CA 90028
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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)

Jonathan Villicana Psyd 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 Reassignments

2

Medicare enrollment records show Jonathan Villicana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Los Angeles Lgbt Center
Same address
Federally Qualified Health Center (FQHC)
1625 SCHRADER BLVD
Los Angeles, CA 90028
  • Reassigned Medicare billing, California enrollment
  • 110 clinicians in this Medicare group
NPI 1548298532 (323) 993-7500
Unicare Community Health Center Inc
4.4 mi
Federally Qualified Health Center (FQHC)
741 S ALVARADO ST
Los Angeles, CA 90057
  • Reassigned Medicare billing, California enrollment
  • 119 clinicians in this Medicare group
NPI 1720571789 (213) 413-6666

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 90028 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

DR. KEVIN THOMAS MARX PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7467
DEVIKA SHANKAR
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7504
AUDREY MACASIEB
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8910
ANEDRA PRESSLEY RN
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7434
DELANEY MCHUGO
Student in an Organized Health Care Education/Training Program
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-2914
ALAN GAONA
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8971
MR. RISHAD LAWYER LMFT
Marriage & Family Therapist
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7500
ACE SEIDEL
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (213) 466-5021

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 Jonathan Villicana's NPI number?

The NPI number for Jonathan Villicana is 1891430245. It was assigned to this individual provider in the NPPES registry on April 30, 2022.

Where is Jonathan Villicana located?

Jonathan Villicana practices at 1625 Schrader Blvd, Los Angeles, CA 90028. The listed phone number is (213) 413-6666.

What is Jonathan Villicana's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jonathan Villicana enrolled in Medicare?

Yes. Jonathan Villicana is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathan Villicana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Villicana reassigns Medicare benefits to 2 organizations: Los Angeles Lgbt Center (Los Angeles, CA) and Unicare Community Health Center Inc (Los Angeles, CA). Each 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 Jonathan Villicana'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 Jonathan Villicana was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.