Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Patricia Simone Mora Villacorta, PA-C

Individual provider Physician Assistant · NPI 1497227573

Patricia Simone Mora Villacorta, PA-C is a Physician Assistant in San Jose, California. Qualified in 2018, 8 years ago. Practices with El Camino Health Medical Network LLC, a 201-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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

625 Lincoln Ave
San Jose, CA 95126-3785
Phone: (408) 871-5251
Fax: (408) 871-5241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA56326 (CA)

Record details

NPI number1497227573
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 29, 2018
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice El Camino Health Medical Network Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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