DINA L VILLAPUDUA (PA) – Physician Assistant, NPI 1992871941

DINA L VILLAPUDUA (PA) is a healthcare provider. based in Buena park, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 18416 (CA). The NPI Number for DINA L VILLAPUDUA (PA) is 1992871941

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DINA L VILLAPUDUA (PA)
NPI
1992871941
Phone
(714) 469-8868
Address
9502 MONTERRA WAY
Enumeration Date
28 November 2006
Last Update Date
19 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5624304138
Graduation Year
2022 (4 years ago)
PAC ID
4385826635
Group Practice PAC ID
9032340047
Professional Enrollment ID
I20110308001024
Address ID
CA907203385LO3851XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for DINA L VILLAPUDUA (PA)

  • 9502, Monterra Way, Buena Park, Orange County, California, 90620, United States

    BUENA PARK, CA 906204260

    Phone: (714) 469-8868

    Mailing address matches the actual address.

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: 2011-03-08

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
I20110308001024IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7874$0
99204New patient office or other outpatient visit, 45-59 minutes7373$0
81003Automated urinalysis test3534$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2424$0
View full utilization report →

Insurance plans in this area (ZIP 90620)

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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: 9032340047View full group profile

Reviews

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Frequently asked questions

Is DINA L VILLAPUDUA (PA) listed with a National Provider Identifier?
Yes — DINA L VILLAPUDUA (PA) has NPI 1992871941 on file in the registry.
Would DINA L VILLAPUDUA (PA) appear as active to a payer?
You can treat DINA L VILLAPUDUA (PA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DINA L VILLAPUDUA (PA)?
DINA L VILLAPUDUA (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DINA L VILLAPUDUA (PA)?
Travel planning: use Buena Park, California as the reference point for DINA L VILLAPUDUA (PA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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