Active NPI
Michael Villasin, MD, MPH
- Sports Medicine (Family Medicine) Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- A200844
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| A200844 | CA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | 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 | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| CG Medical Associates Inc | Family Medicine | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current | Accepting new patients |
| Samaritan Behavioral Health, Inc. | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Samaritan Behavioral Health, Inc. | Current | 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
- https://api.qualifacts.org/api/fhir/sbhihelp/r4/
- 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Clinic/Center
- Dayton, OH
- NPI 1205888641
-
- Neurological Surgery Physician
- Loma Linda, CA
- NPI 1194775122
-
- Ophthalmology Physician
- Loma Linda, CA
- NPI 1437109469
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Pediatrics Physician
- Loma Linda, CA
- NPI 1992463251
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Lockport, LA
- NPI 1598948267
-
- Community/Behavioral Health Agency
- Dayton, OH
- NPI 1235490939
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayton, OH
- NPI 1629022330
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.