Individual provider Active NPI

Michael Villasin, MD, MPH

  • Sports Medicine (Family Medicine) Physician
  • Loma Linda, CA
National Provider Identifier
1710482963
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A200844 Issued in CA
Practice address
11370 Anderson St Ste 3600
Loma Linda, CA 92354-3450
Phone
(909) 558-4884
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.140058 OH
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 329732 LA
Sports Medicine (Family Medicine) Physician 207QS0010X A200844 CA Primary

Addresses

Primary practice location

11370 Anderson St Ste 3600
Loma Linda, CA 92354-3450

Mailing address

11370 Anderson St Ste 1519
Loma Linda, CA 92354-3450
Phone (909) 558-4884

Other practice location 1

2145 N Fairfield Rd
Beavercreek, OH 45431-2580
Phone (937) 702-4031

Other practice location 2

10310 The Grove Blvd
Baton Rouge, LA 70836-6455
Phone (225) 761-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, LA, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201208003041 OH Practitioner - Family Practice 6709140213 Reassigns benefits to 2 organizations
I20220929000798 LA Practitioner - Sports Medicine 6709140213 Reassigns benefits to 1 organization
I20250702004158 CA Practitioner - Internal Medicine 6709140213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804

11370 Anderson St
Loma Linda, CA 92354-3450

File Number
Suite 54701
Los Angeles, CA 90074-4701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A200844CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Samaritan Behavioral Health, Inc. Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 8, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
CG Medical Associates Inc Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince Sep 23, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 8, 2022 Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince Sep 23, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm Sports Medicine Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

11370 Anderson St
#3600
Loma Linda, CA 92354

11370 Anderson St
Ste 1519
Loma Linda, CA 92354

11370 Anderson St
Ste 3600
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

601 S Edwin C Moses Blvd
Fl 4
Dayton, OH 45417
Phone (937) 734-8333

2131 Gateway Dr
Fairborn, OH 45324
Phone (937) 873-9500

3290 Village Dr
Middletown, OH 45005
Phone (513) 422-7703

846 State Route 28
Milford, OH 45150
Phone (513) 831-8555

360 Glensprings Dr
Springdale, OH 45246
Phone (513) 671-5050

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/
  • Direct secure messaging: mvillasin1257616@direct.llu.edu

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1710482963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST STE 1519",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST STE 3600",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-4884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 N Fairfield Rd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454312580",
            "country_code": "US",
            "telephone_number": "937-702-4031",
            "fax_number": "937-702-4039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10310 The Grove Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708366455",
            "country_code": "US",
            "telephone_number": "225-761-5200",
            "fax_number": "225-761-5702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLASIN",
        "first_name": "MICHAEL",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.140058",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "LA",
            "license": "329732",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A200844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.