Edgar Antonio Villa, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cerritos, California. His current practice location is
400 E. La Habra Blvd, La Habra, Cerritos, California. You can reach out to his office (for appointments etc.) via phone at
(562) 691-3263.
Edgar Antonio Villa is licensed to practice in California (license number 61051) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053608570.
Healthcare Provider's Profile
Full Name | Edgar Antonio Villa |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 400 E. La Habra Blvd, Cerritos, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053608570
- Provider Enumeration Date: 07/05/2011
- Last Update Date: 12/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 8325343304
- Enrollment ID: I20160229003093
Medical Identifiers
Medical identifiers for Edgar Antonio Villa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053608570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 28065 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 61051 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edgar Antonio Villa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Edgar Antonio Villa, LCSW 400 E La Habra Blvd, La Habra, CA 90631-5525 Ph: (714) 589-9228 | Edgar Antonio Villa, LCSW 400 E. La Habra Blvd, La Habra, Cerritos, CA 90703-2640 Ph: (562) 691-3263 |
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