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

Mr. Michael Villaverde Villanueva, PA-C

Individual provider Physician Assistant · NPI 1316909757

Mr. Michael Villaverde Villanueva, PA-C is a Physician Assistant in Perris, California. Qualified in 2000, 26 years ago. Practices with Perris Valley Medical Group Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
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

126 Avocado Ave Ste 207
Perris, CA 92571-2605
Phone: (951) 657-0544
Fax: (951) 657-9644
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15429 (CA)

Record details

NPI number1316909757
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2006
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Perris Valley Medical Group Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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