Individual provider Active NPI

Jose Villa

  • Behavior Analyst
  • Santa Clarita, CA
National Provider Identifier
1184432767
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
25134 Rye Canyon Loop Ste 270
Santa Clarita, CA 91355-5030
Phone
(818) 401-0661
NPI assigned
Dec 27, 2024
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

25134 Rye Canyon Loop Ste 270
Santa Clarita, CA 91355-5030

Mailing address

16380 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1221
Phone (818) 401-0661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Psychcare, Inc. Behavior Analyst CurrentSince Dec 29, 2024 Accepting new patients

Locations

25134 Rye Canyon Loop
Ste 270
Valencia, CA 91355
Phone (661) 843-1901

16380 Roscoe Blvd
Ste 100
Van Nuys, CA 91406
Phone (818) 401-0661

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1184432767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16380 ROSCOE BLVD STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061221",
            "telephone_number": "818-401-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25134 RYE CANYON LOOP STE 270",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913555030",
            "telephone_number": "818-401-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.