Active NPI
Maria Theresa Orense Villa, M.D.
- Family Medicine Physician
- San Diego, CA
National Provider Identifier
1861541385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A86224
- Practice address
- 655 Saturn Blvd
Suite #J
San Diego, CA 92154-4734 - Phone
- (619) 575-4442
- Fax
- (619) 575-1297
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A86224 | CA | Primary |
Addresses
Primary practice location
655 Saturn Blvd
Suite #J
San Diego, CA 92154-4734
Mailing address
655 Saturn Blvd
Suite #J
San Diego, CA 92154-4734
Phone (619) 575-4442
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050804000239 | CA | Practitioner - Family Practice | 5193754794 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
655 Saturn Blvd
Suite J
San Diego, CA 92154-4734
Phone (619) 575-4442
655 Saturn Blvd J
San Diego, CA 92154-4734
Hospital & facility affiliations
- Sharp Chula Vista Medical Center
- Sharp Coronado Hospital and Hlthcr Ctr
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86224 | CA | MD | Marriage & Family Therapist |
| A86224 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliable Care Medical Group AMC PC | Current | Accepting new patients | |
| Sharp Chula Vista Medical Center | Past | Accepting new patients | |
| Abnc Healthcare Services | Family Medicine | Past | Accepting new patients |
| Maria Theresa O Villa, PC | Family Medicine | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Nurse Practitioner
- National City, CA
- NPI 1538710033
-
- Family Medicine Physician
- San Diego, CA
- NPI 1083384267
-
- Family Medicine Physician
- San Diego, CA
- NPI 1992513113
-
- Skilled Nursing Facility
- Chula Vista, CA
- NPI 1538142369
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1861541385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 SATURN BLVD",
"address_2": "SUITE #J",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921544734",
"telephone_number": "619-575-4442",
"fax_number": "619-575-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 SATURN BLVD",
"address_2": "SUITE #J",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921544734",
"telephone_number": "619-575-4442",
"fax_number": "619-575-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLA",
"first_name": "MARIA THERESA",
"middle_name": "ORENSE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A86224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.