FELIPE VILLENA – Anesthesiology Physician, NPI 1780658773

FELIPE VILLENA is a healthcare provider. based in Stockton, California. specializing in ANESTHESIOLOGY. They hold a License No. 02002220A (IN). The NPI Number for FELIPE VILLENA is 1780658773

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
FELIPE VILLENA
NPI
1780658773
Phone
(209) 956-7725
Address
PO BOX 7096
Enumeration Date
15 February 2006
Last Update Date
17 December 2021

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
9169735000
Graduation Year
1988 (38 years ago)
PAC ID
5496843906
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20071116000536
Address ID
CA958252115SA2025XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

6,391 ANESTHESIOLOGY in CA

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Provider Addresses for FELIPE VILLENA

  • Stockton Post Office, 401, North San Joaquin Street, Stockton, San Joaquin County, California, 95202, United States

    STOCKTON, CA 952670096

    Phone: (209) 956-7725

    Fax: (209) 956-7733

    Type: Mailing

  • Mercy San Juan Medical Center, 6501, Coyle Avenue, Sacramento County, California, 95608, United States

    CARMICHAEL, CA 956080306

    Phone: (916) 537-5000

    Fax: (916) 851-2884

    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: 2007-11-16

PECOS data refreshed: 2026-06-15

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
I20071116000536IAnesthesiologyCATBD

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 95267)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

Is there an official ID for FELIPE VILLENA in U.S. healthcare records?
The official identifier for FELIPE VILLENA is NPI 1780658773.
Active or inactive — what applies to FELIPE VILLENA?
You should see FELIPE VILLENA as active in CMS-hosted NPPES data.
What clinical focus is listed for FELIPE VILLENA?
At a glance, FELIPE VILLENA is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with FELIPE VILLENA?
Directory geography for FELIPE VILLENA centers on Stockton, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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