Active NPI
Daniel J Reyes-Villa, M.D.
- Family Medicine Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A101639
- Practice address
- 841 Blossom Hill Rd Ste 215
San Jose, CA 95123-2704 - Phone
- (408) 629-7095
- Fax
- (408) 818-2352
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A101639 | CA | Primary |
Addresses
Primary practice location
841 Blossom Hill Rd Ste 215
San Jose, CA 95123-2704
Mailing address
841 Blossom Hill Rd Ste 215
San Jose, CA 95123-2704
Phone (408) 629-7095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
841 Blossom Hill Rd
Suite 215
San Jose, CA 95123-2704
841 Blossom Hill Rd
Suite 215
San Jose, CA 95123-2708
Phone (408) 629-7095
Hospital & facility affiliations
- Ace Home Health Care & Hospice, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101639 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seres Prime Healthcare | Current | Accepting new patients | |
| Sandra Torres MD, Medical Corporation | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients |
Locations
841 Blossom Hill Rd
Ste 215
San Jose, CA 95123
Phone (408) 629-7025
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/8937/brand/1/csg/1/fhir/r4
- daniel.reyes-villa@1956168269828.direct.elationemr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- San Jose, CA
- NPI 1306483839
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Primary Care Clinic/Center
- San Jose, CA
- NPI 1871523670
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Orinda, CA
- NPI 1437442878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1013136563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 BLOSSOM HILL RD STE 215",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951232704",
"telephone_number": "408-629-7095",
"fax_number": "408-818-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 BLOSSOM HILL RD STE 215",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951232704",
"telephone_number": "408-629-7095",
"fax_number": "408-818-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES-VILLA",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A101639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.