MR. ELIAS JR. VILLARREAL (PA-C) – Physician Assistant, NPI 1689829475

MR. ELIAS JR. VILLARREAL (PA-C) is a healthcare provider. based in San diego, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60897 (CA). The NPI Number for MR. ELIAS JR. VILLARREAL (PA-C) is 1689829475

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. ELIAS JR. VILLARREAL (PA-C)
NPI
1689829475
Phone
Not provided
Address
PO BOX 232410
Enumeration Date
21 November 2008
Last Update Date
7 September 2023

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
4688716707
Group Practice PAC ID
3577476761
Professional Enrollment ID
I20230920003958
Address ID
CA921039000SA200XXDRXX414
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MR. ELIAS JR. VILLARREAL (PA-C)

  • PO BOX 232410

    SAN DIEGO, CA 921932410

    Phone:

    Type: Mailing

  • 712, South Cage Boulevard, McDaniel Colonia, Pharr, Hidalgo County, Texas, 78577, United States

    PHARR, TX 785775446

    Phone: (956) 783-1900

    Fax: (956) 783-0291

    Type: Mailing

  • 1205, Raul Longoria Road, Red Barn Colonia, San Juan, Hidalgo County, Texas, 78589, United States

    SUITE H

    SAN JUAN, TX 785893720

    Phone: (956) 702-0444

    Fax: (956) 702-3332

    Type: Location

  • 200 W ARBOR DR

    SAN DIEGO, CA 921039000

    Phone: (800) 926-8273

    Fax: (888) 539-8781

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $1,052.

Total Amount is formed as General ($1,052) + Research ($0) + Ownership ($0) = $1,052.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($362).

Total Amount

$1,052

General + Research + Ownership

Payments

9

Total payment records

General Amount

$1,052

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-09-20

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
I20230920003958IPhysician AssistantCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92193)

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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: 3577476761View full group profile

Reviews

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Frequently asked questions

What is MR. ELIAS JR. VILLARREAL (PA-C)'s NPI number?
MR. ELIAS JR. VILLARREAL (PA-C)'s NPI is 1689829475 — the number used across U.S. healthcare to identify this provider.
Is MR. ELIAS JR. VILLARREAL (PA-C) shown as active in public data?
Registry records indicate MR. ELIAS JR. VILLARREAL (PA-C) maintains an active NPI.
What expertise is attributed to MR. ELIAS JR. VILLARREAL (PA-C)?
MR. ELIAS JR. VILLARREAL (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in California is MR. ELIAS JR. VILLARREAL (PA-C) registered?
Use San Diego, California as the headline location for MR. ELIAS JR. VILLARREAL (PA-C) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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