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

Jacob I Villa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447024930

Jacob I Villa is a Student in an Organized Health Care Education/Training Program in Lake Elsinore, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

31946 Mission Trl Ste B
Lake Elsinore, CA 92530-4539
Phone: (951) 245-7663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence AMFT157300 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447024930
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 14, 2023
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

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