Rafael Villicana, MD
Nephrology Physician · Loma Linda, CA
Rafael Villicana, MD is a nephrology physician with a practice address in Loma Linda, California, and NPI 1669496832, issued on Jul 27, 2006. Check the license (California A83031, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Rafael Villicana
- Credential
- MD
- Primary taxonomy
- Nephrology Physician 207RN0300X
- License number
- A83031 CA
Self-reported in NPPES; status is on the state search - Practice location
- 25865 Barton RD, Loma Linda, CA 92354
- Phone
- (909) 558-3636
- Enumerated
- Jul 27, 2006
- Record last updated
- Apr 13, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (909) 558-3722
- Medicare enrollment
- Enrolled (PECOS I20061212000648); accepts Medicare assignment
- Medical or professional school
- Michigan State University College Of Human Medicine, 2000
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest nephrology physician records → All 1,468 in California → Look up another NPI →
Also registered at 25865 Barton RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Randall Culler, PA-CPhysician Assistant1962832998
- Mina Rakoski, M.D.Gastroenterology Physician1720289374
Verify Rafael Villicana in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A83031Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
36% more Medicare Part D claims than the average nephrology physician in 2024
1,990 Medicare Part D claims for 239 beneficiaries, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 23% of claims.
Most prescribed
- Prednisone306 claims
- Famotidine121 claims
- Pantoprazole Sodium98 claims
- Lokelma95 claims
- Farxiga82 claims
- Tamsulosin Hcl75 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 85.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $157,540.92
177 payments; by number, the most common kind was food and beverage; the largest payer was Mallinckrodt Hospital Products Inc. The 8,230 providers of this specialty with any payment received $3,091.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Faculty Physicians And Surgeons OF LlusmLoma Linda, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Rafael Villicana among 1,468 nephrology physician records in California
Rafael Villicana, MD is one of 1,468 nephrology physician records with a practice address in California. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.
- NPI issued2006 · 10% of these records are older, 48% newer
- In a Medicare fileYes · 88% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated2000 · median 2001 among the 1,128 with a school on file
- Record last updated2016 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RN0300X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Nephrology Physician providers in California
There are 1,468 nephrology physician records in California.
All 1,468 in California → Every provider in Loma Linda → Nephrology Physician nationwide →
The 8 nephrology physician records with the nearest ZIP codes
- Amir Abdi Pour, MDLoma Linda, CA 923541912187477
- Afshin Ahoubim, M.DLoma Linda, CA 923541932513488
- Jasjot Bhullar, M.D.Loma Linda, CA 923541366602229
- Alfred Cottrell, M.D.Loma Linda, CA 923541609893809
- Lakshmi GanesanLoma Linda, CA 923541821356288
- Thanh Hoang, M.D.Loma Linda, CA 923541992818892
- Matthew Kaptein, M.D.Loma Linda, CA 923541184995094
- Melin Narayan, M.D.,Loma Linda, CA 923541710291869
Common questions
What is Rafael Villicana, MD's NPI number?
Rafael Villicana, MD's National Provider Identifier (NPI) is 1669496832, issued on Jul 27, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Rafael Villicana, MD located?
The NPPES record lists a practice address at 25865 Barton RD, Loma Linda, CA, 92354. Phone: (909) 558-3636. Providers update this record themselves, so call before visiting.
How can I verify Rafael Villicana, MD's license?
NPPES lists California license number A83031, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Rafael Villicana, MD prescribe under Medicare Part D?
In 2024, Rafael Villicana, MD had 1,990 Medicare Part D claims for 239 beneficiaries; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.
What is Rafael Villicana, MD's MIPS final score?
The 2023 MIPS final score is 85.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.