Noelle Kristina Villa, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

64616 Issued in CA

Practice address

426 N Date St
Escondido, CA 92025-3409

Phone

(833) 867-4642

NPI assigned

Jul 5, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1598703647
  Medicare reassignment NPD
• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Beaumont, CA
  • NPI 1629601653
  NPD
• Sun Life Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1417286568
  NPD (past)
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
  • NPI 1508276940
  NPD (past)
• Sun Life Family Health Center, Inc.

  • Dental Clinic/Center
  • Casa Grande, AZ
  • NPI 1992166359
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1013694645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253409",
            "telephone_number": "833-867-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253409",
            "telephone_number": "833-867-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "NOELLE",
        "middle_name": "KRISTINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "9746",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "64616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vieran Corp
• Brian Vigliotti, PT
• Theresa Marie Viglizzo
• Vijaya KV Prabhu. DDS. a Proffessional Corp
• Villa Bernardo Opco, LLC
• Brenda Villafana
• Carina Villaneda, RN
• Ana Villanueva, B.A
• Carlos Quito Villanueva, LVN
• Veronica Mercedes Villanueva

• Pediatrics Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.

Verify at the official NPI Registry.