Diana Derosa Villarreal, in Loma Linda, CA

Diana Derosa Villarreal, is a medicare enrolled "Pediatrics" physician in Loma Linda, California. Her current practice location is 11175 Campus St, Department Of Pediatrics, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-8142.

Diana Derosa Villarreal is licensed to practice in California (license number A161918) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235525403.

Contact Information

	Diana Derosa Villarreal,
	11175 Campus St, Department Of Pediatrics, Loma Linda, CA 92350-1700
	(909) 558-8142
	(909) 558-5981

Map and Direction

Physician's Profile

Full Name	Diana Derosa Villarreal
Gender	Female
Speciality	Pediatrics
Location	11175 Campus St, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235525403
Provider Enumeration Date: 04/14/2015
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 3476892548
Enrollment ID: I20190823000361

Medical Identifiers

Medical identifiers for Diana Derosa Villarreal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235525403	NPI	-	NPPES
9000169885	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A161918 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Diana Derosa Villarreal allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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. Diana Derosa Villarreal 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
Diana Derosa Villarreal, 11175 Campus St, Department Of Pediatrics, Loma Linda, CA 92350-1700 Ph: (909) 558-8142	Diana Derosa Villarreal, 11175 Campus St, Department Of Pediatrics, Loma Linda, CA 92350-1700 Ph: (909) 558-8142

Reviews and Comments

Pediatrics Doctors in Loma Linda, CA

Rita Sheth, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11175 Campus St, Loma Linda, CA 92350 Phone: 909-558-8242 Fax: 909-558-0479
Rachel Elizabeth Gelfond Davidge, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Loma Linda University Health, General Pediatrics, Loma Linda, CA 92354 Phone: 909-558-4174
Medha Shukla, Pediatrics Medicare: Medicare Enrolled Practice Location: 25845 Barton Rd Ste 101, Loma Linda, CA 92354 Phone: 909-558-3904
Barbara K Ariue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11370 Anderson St, Ste B-100, Loma Linda, CA 92354 Phone: 909-558-2848
Dr. Adrian P Lavery, M.D, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 11175 Campus Street, Coleman Pavilion Suite 11121 Department Of Neonatology, Loma Linda, CA 92354 Phone: 909-651-5746 Fax: 909-558-0298
Eugenia Zhang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda University Medical Center-pediatrics, Loma Linda, CA 92354 Phone: 909-558-4174
Aliyah A Khan-serrano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000

Diana Derosa Villarreal, - Medicare Pediatrics in Loma Linda, CA