Individual provider Active NPI

Giovanni Villegas, DO

  • Psychiatry Physician
  • Anaheim, CA
National Provider Identifier
1629607908
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A22304 Issued in CA
Practice address
2401 E Katella Ave Ste 625
Anaheim, CA 92806-5995
Phone
(800) 577-4701
NPI assigned
Apr 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A22304 CA Primary

Addresses

Primary practice location

2401 E Katella Ave Ste 625
Anaheim, CA 92806-5995

Mailing address

2401 E Katella Ave Ste 625
Anaheim, CA 92806-5995
Phone (949) 370-7245

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809003845 CA Practitioner - Psychiatry 4688112535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebula Health, LLCGroup PAC ID 8820482805, 17 clinicians

Practice addresses (Care Compare)

23228 Madero
Mission Viejo, CA 92691-2706
Phone (949) 900-4580

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
22304CAMDDentist
20A22304CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebula Health, LLC Psychiatry CurrentSince Jun 29, 2024 Accepting new patients
Eugene Rosenman MD Professional Corporation CurrentSince Jan 2, 2025 Accepting new patients

Locations

2401 E Katella Ave
Ste 625
Anaheim, CA 92806
Phone (562) 881-1095

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

5900 Brockton Ave
Riverside, CA 92506
Phone (800) 992-0901

6833 Indiana Ave
Ste 101
Riverside, CA 92506
Phone (657) 346-6319

806 Avenida Pico
#I330
San Clemente, CA 92673

3321 N Buffalo Dr
Ste 225
Las Vegas, NV 89129
Phone (702) 816-0226

Organizations & group practices 2

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.

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1629607908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E KATELLA AVE STE 625",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065995",
            "telephone_number": "949-370-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E KATELLA AVE STE 625",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065995",
            "telephone_number": "800-577-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "GIOVANNI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A22304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.