Individual provider Active NPI

Rex B Villegas, O.D.

  • Optometrist
  • Pasadena, CA
National Provider Identifier
1992746275
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12668T Issued in CA
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

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000745 CA Practitioner - Optometry 7416986088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Eye Specialists Medical Group IncGroup PAC ID 6800793381, 26 clinicians
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT12668TCAMDOptometrist
12668CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Eye Specialists Medical Group, Inc CurrentSince Dec 1, 2015 Accepting new patients
Azul Vision Inc. Optometrist CurrentSince Jun 12, 2024 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

  • Direct secure messaging: rex.villegas.p1@direct.atlantiseyecare.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.