Rafael Villicana, MD
NPI 1669496832 · Nephrology Physician · Loma Linda, CA
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Villicana, MD is a Nephrology Physician provider in Loma Linda, CA (NPI 1669496832).
Provider details
- NPI number
- 1669496832
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A83031 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
716 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 243 | $184 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 205 | $17 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 185 | $118 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 47 | $132 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 36 | $173 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 306 | 63 |
| Famotidine | 121 | 23 |
| Pantoprazole Sodium | 98 | 18 |
| Sodium Zirconium Cyclosilicatebrand: Lokelma | 95 | 17 |
| Dapagliflozin Propanediolbrand: Farxiga | 82 | 12 |
| Tamsulosin Hcl | 75 | 14 |
| Carvedilol | 72 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$157,541 across 177 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2016-04-13
Frequently asked questions
- What is Rafael Villicana's NPI number?
- Rafael Villicana's National Provider Identifier (NPI) is 1669496832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Villicana's specialty?
- Rafael Villicana is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Villicana located?
- Rafael Villicana's practice location on file with NPPES is 25865 Barton Rd, Loma Linda, CA 92354-3895.
- What is Rafael Villicana's phone number?
- The practice phone number listed in the NPPES registry for Rafael Villicana is (909) 558-3636.
- Does Rafael Villicana accept Medicare?
- Rafael Villicana is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Villicana's NPI active?
- Yes — Rafael Villicana's NPI (1669496832) is active in the NPPES registry as of the last update on 2016-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.