Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason David Villa, PA-C

Individual provider Physician Assistant · NPI 1629436548

Jason David Villa, PA-C is a Physician Assistant in Cranston, Rhode Island. Qualified in 2015, 11 years ago. Practices with Comprehensive Community Action, Inc, a 26-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut and Rhode Island.

Years since qualifying
11
Licensed in
CT, RI
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1090 Cranston St
Cranston, RI 02920-7323
Phone: (401) 943-1981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 High Service Ave, North Providence, RI 02904-5113 — (401) 456-3000
  • 825 Chalkstone Ave, Providence, RI 02908-4728 — (401) 456-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00927 (RI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 23.003522 (CT)

Record details

NPI number1629436548
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 6, 2016
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Comprehensive Community Action, Inc. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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