JUAN PABLO VILLABLANCA (MD) – Vascular & Interventional Radiology Physician, NPI 1073564407

JUAN PABLO VILLABLANCA (MD) is a healthcare provider. based in Los angeles, California. specializing in DIAGNOSTIC RADIOLOGY, PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. G70784 (CA). The NPI Number for JUAN PABLO VILLABLANCA (MD) is 1073564407

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JUAN PABLO VILLABLANCA (MD)
NPI
1073564407
Phone
(323) 634-3850
Address
335 N La Brea Ave
Enumeration Date
12 May 2006
Last Update Date
9 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
6406876226
Group Practice PAC ID
8921902065
Professional Enrollment ID
I20051122000889
Address ID
CA916022705NO4343XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,793 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for JUAN PABLO VILLABLANCA (MD)

  • 335 N La Brea Ave

    Los Angeles, CA 900362517

    Phone: (323) 634-3850

    Fax: (323) 938-9958

    Type: Location

  • 1245 16th St Ste 105

    Santa Monica, CA 904041239

    Phone: (310) 301-6800

    Fax: (310) 794-9035

    Type: Location

  • 200 Ucla Medical Plz Ste B165

    Los Angeles, CA 900953075

    Phone: (310) 301-6800

    Fax: (310) 794-9035

    Type: Location

  • 100 Ucla Medical Plz Ste 100

    Los Angeles, CA 900247000

    Phone: (310) 301-6800

    Fax: (310) 794-9035

    Type: Location

  • 4323 W Riverside Dr

    Burbank, CA 915054044

    Phone: (818) 556-2700

    Fax: (818) 295-3450

    Type: Location

  • 2200 N Sepulveda Blvd

    Manhattan Beach, CA 902662910

    Phone: (310) 802-0200

    Fax: (310) 794-9035

    Type: Location

  • 23388 Mulholland Dr

    Woodland Hills, CA 913642733

    Phone: (818) 876-1050

    Fax: (818) 876-1026

    Type: Location

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

  • University of California, Los Angeles, Glendon Avenue, Westwood Village, Westwood, Los Angeles, Los Angeles County, California, 90024-3990, United States

    LOS ANGELES, CA 900953075

    Phone: (310) 301-6800

    Fax: (310) 794-9035

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051122000889IDiagnostic RadiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9585Injection, gadobutrol, 0.1 ml7,40084$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,40013$0
70450Ct scan head or brain without contrast562515$0
70553Mri scan of brain before and after contrast177172$0
72125Ct scan of upper spine without contrast117113$0
View full utilization report →

Insurance plans in this area (ZIP 90036)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921902065View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyCA
Diagnostic RadiologyCA
Nurse PractitionerCA
Diagnostic RadiologyCA
-CA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCT
Diagnostic RadiologyCA
Interventional Radiology, Diagnostic RadiologyCA

Reviews

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Frequently asked questions

What number should I use to identify JUAN PABLO VILLABLANCA (MD) for billing?
Administrative and clinical systems typically use NPI 1073564407 for JUAN PABLO VILLABLANCA (MD).
Is JUAN PABLO VILLABLANCA (MD)'s NPI status active today?
Active status means JUAN PABLO VILLABLANCA (MD)'s NPI record is not deactivated in the public file.
What services align with JUAN PABLO VILLABLANCA (MD)'s listing?
JUAN PABLO VILLABLANCA (MD)'s public classification highlights Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JUAN PABLO VILLABLANCA (MD)?
JUAN PABLO VILLABLANCA (MD) is associated with Los Angeles, California in the same public data insurers reference.
Who maintains JUAN PABLO VILLABLANCA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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