Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sergio Banuelos Villegas, MD

Individual provider Family Medicine Physician · NPI 1063463339

Dr. Sergio Banuelos Villegas, MD is a Family Practice in Los Angeles, California. Graduated from University of California, Davis School of Medicine in 1987, 39 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
39
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1701 E Cesar Chavez Ave Ste 402
Los Angeles, CA 90033-2464
Phone: (323) 317-9200
Fax: (323) 317-9206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G65363 (CA)

Record details

NPI number1063463339
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESJanuary 11, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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