Active NPI
Rex B Villegas, O.D.
- Optometrist
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12668T
- Practice address
- 2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747 - Phone
- (626) 793-4168
- NPI assigned
- Jun 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT12668T | CA | Primary |
Addresses
Primary practice location
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747
Mailing address
14726 Ramona Ave Ste 203408
Chino, CA 91710-5730
Phone (626) 305-9100
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 N Brand Blvd
Suite 200
Glendale, CA 91202-3638
Phone (818) 583-9933
2619 E Colorado Blvd
Suite 150
Pasadena, CA 91107-3747
Phone (626) 793-4168
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT12668T | CA | MD | Optometrist |
| 12668 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Eye Specialists Medical Group, Inc | Current | Accepting new patients | |
| Azul Vision Inc. | Optometrist | Current | Accepting new patients |
| Diagnostic Imaging Services | Past | Accepting new patients | |
| Eyecare Specialists Medical Group, Inc | Optometrist | Past | Accepting new patients |
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients | |
| Rizal Optique Optometry, Inc | Optometrist | Past | Accepting new patients |
| Community Hospital of San Bernardino | Past | Accepting new patients |
Locations
14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100
1025 N Brand Blvd
Ste 200
Glendale, CA 91202
Phone (818) 230-2140
7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004
81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268
2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600
1120 W Washington Blvd
Fl 2
Los Angeles, CA 90015
Phone (213) 789-5030
855 W Foothill Blvd
Monrovia, CA 91016
Phone (626) 305-9100
2619 E Colorado Blvd
#150
Pasadena, CA 91107
Phone (626) 305-9100
9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014
1845 W Redlands Blvd
Ste 101
Redlands, CA 92373
Phone (909) 363-1450
1845 W Redlands Blvd
Redlands, CA 92373
207 S Santa Anita St
Ste P25
San Gabriel, CA 91776
Phone (626) 200-1277
399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118
18370 Burbank Blvd
Ste 207
Tarzana, CA 91356
Phone (818) 634-3330
494 N Mountain Ave
Upland, CA 91786
Phone (909) 552-7200
7301 Medical Ctr
Ste 301
West Hills, CA 91307
Phone (818) 583-9115
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rex.villegas.p1@direct.atlantiseyecare.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Specialist
- Pasadena, CA
- NPI 1699713099
-
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
-
- Pediatric Skilled Nursing Facility
- San Bernardino, CA
- NPI 1851395685
-
- Ophthalmology Physician
- Anaheim, CA
- NPI 1437181930
Optometrist
-
- Optometrist
- Cerritos, CA
- NPI 1649423450
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1992746275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14726 RAMONA AVE STE 203408",
"city": "CHINO",
"state": "CA",
"postal_code": "917105730",
"telephone_number": "626-305-9100",
"fax_number": "626-305-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2619 E COLORADO BLVD STE 150",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073747",
"telephone_number": "626-793-4168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS",
"first_name": "REX",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12668T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.