Individual provider Active NPI

Maria Theresa Orense Villa, M.D.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1861541385
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A86224 Issued in CA
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

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Chula Vista, CA, CCN 050222
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86224CAMDMarriage & Family Therapist
A86224CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable Care Medical Group AMC PC CurrentSince Aug 15, 2019 Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Abnc Healthcare Services Family Medicine PastSince Sep 23, 2021 Accepting new patients
Maria Theresa O Villa, PC Family Medicine PastSince Sep 5, 2010 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.

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": "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

Verify at the official NPI Registry.