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

John Frederick Villa, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1609406990

John Frederick Villa, AGACNP is a Nurse Practitioner in Sherman Oaks, California. Qualified in 2024, 2 years ago. Practices with Epic Medical Group, Inc, a 54-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2020

Practice location Address checks out

4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702
Phone: (661) 547-2368
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95033904 (CA)

Record details

NPI number1609406990
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJanuary 25, 2020
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Epic Medical Group,Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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