Jose L Villagomez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A61283 Issued in CA

Practice address

12099 W Washington Blvd Ste 400
Los Angeles, CA 90066-2620

Phone

(310) 398-3803

Fax

(310) 398-5189

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Emergency MedicineAlso: General Practice

Education

University of California, San Francisco School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• 24/7 Team Care Home Health Home health agency, Simi Valley, CA, CCN 553129

Merit-based Incentive Payment System (MIPS)

Final score

91.9 of 100Reported as group

Quality

81.89

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Sana Medical Group, Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1194900175

  General Practice

  Medicare reassignment NPD Authorized official
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment NPD
• Alta Salud

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1467333732
  NPD Authorized official
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Mission Hills, CA
  • NPI 1780625871
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• Arcadia Pathology Medical Group

  • Anatomic Pathology & Clinical Pathology Physician
  • Arcadia, CA
  • NPI 1629047808
  NPD (past)
• Dignity Health

  dba St. John's Regional Medical Center

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360
  NPD (past)
• Gardena Hospital LP

  dba Memorial Hospital of Gardena Pharmacy

  • Institutional Pharmacy
  • Gardena, CA
  • NPI 1669491700
  NPD (past)

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

• Union Home Health, Inc.

  • Home Health Agency
  • Mission Hills, CA
  • NPI 1265887111
  Care Compare affiliation

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1699717462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12099 W WASHINGTON BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662620",
            "telephone_number": "310-398-3803",
            "fax_number": "310-398-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12099 W WASHINGTON BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662620",
            "telephone_number": "310-398-3803",
            "fax_number": "310-398-5189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12099 W Washington Blvd Ste 412",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900662620",
            "country_code": "US",
            "telephone_number": "310-398-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAGOMEZ",
        "first_name": "JOSE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A61283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00A612830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11613705",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A612830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Village Therapy Licensed Clinical Social Worker, PC
• Gloriana Co Ting Keh Villago, D. D. S.
• Gabriela Villagomes, M.A.
• Angel Villagomez
• Esmeralda Villagomez
• Virginia Villagomez, LCSW
• Justin Nikolas Villagran
• Naomi Villagran, PA
• Valerie Villagran
• Alex Villalba, MA, CFSD, LES

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.