Individual provider Active NPI

Janette Carbone Villalon, PA-C

  • Physician Assistant
  • Orange, CA
National Provider Identifier
1073695250
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
00000PA16584 Issued in CA
Practice address
101 The City Dr S BLDG 22C1
Uci Medical Center
Orange, CA 92868-3201
Phone
(714) 456-8313
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 00000PA16584 CA Primary

Addresses

Primary practice location

101 The City Dr S BLDG 22C1
Uci Medical Center
Orange, CA 92868-3201

Mailing address

101 The City Drive, BLGD 22 C First Floor
Uci-
Orange, CA 92868-0708
Phone (714) 456-8313

Other names 1

  • Janette Audrey Carbone Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070301000657 CA Practitioner - Physician Assistant 4082716576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UC RegentsGroup PAC ID 7416869516, 316 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
00000PA16584CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents CurrentSince Oct 7, 2015 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients
UC Regents Past Accepting new patients

Locations

19200 Jamboree Rd
Ste 3300
Irvine, CA 92612

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Fl First
Orange, CA 92868
Phone (714) 456-6510

101 The City Dr S
Bldg 22C1
Orange, CA 92868
Phone (714) 456-8313

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1073695250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THE CITY DRIVE, BLGD 22 C FIRST FLOOR",
            "address_2": "UCI-",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928680708",
            "telephone_number": "714-456-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S BLDG 22C1",
            "address_2": "UCI MEDICAL CENTER",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALON",
        "first_name": "JANETTE",
        "middle_name": "CARBONE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "00000PA16584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANETTE",
            "last_name": "CARBONE",
            "middle_name": "AUDREY",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.