Individual provider Active NPI

Christy L Perez-Valles, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Modesto, CA
National Provider Identifier
1003173089
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
18764 Issued in NV
Practice address
4301 Northstar Way
Modesto, CA 95356-6702
Phone
(209) 577-1200
Fax
(209) 577-6517
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 18764 NV Primary

Addresses

Primary practice location

4301 Northstar Way
Modesto, CA 95356-6702

Mailing address

4301 Northstar Way
Modesto, CA 95356-6702
Phone (209) 577-1200

Other practice location 1

316 S Dunworth St
Visalia, CA 93292-6702
Phone (559) 625-0601

Other identifiers 1

IdentifierTypeStateIssuer
1003173089MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190603003104 NV Practitioner - Pathology 9133452378 Reassigns benefits to 2 organizations
I20220321001315 CA Practitioner - Pathology 9133452378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of California, San Francisco School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yosemite Pathology Medical Group IncGroup PAC ID 3072415751, 45 clinicians

Practice addresses (Care Compare)

4301 N Star Way
Suite a
Modesto, CA 95356-9262
Phone (209) 577-1200

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

Merit-based Incentive Payment System (MIPS)

Final score
53.37 of 100Reported as group
Quality
41.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18764NVMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yosemite Pathology Medical Group, Inc Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2022 Accepting new patients
Western Pathology Consultants, LTD Current Accepting new patients
Western Pathology Consultants, LTD Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2021 Accepting new patients
Yosemite Pathology Medical Group, in Past Accepting new patients

Locations

4301 N Star Way
Ste A
Modesto, CA 95356

4301 N Star Way
Modesto, CA 95356
Phone (915) 521-2290

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820

645 N Arlington Ave
Ste 340
Reno, NV 89503
Phone (775) 746-3400

343 Elm St
Ste 206
Reno, NV 89503
Phone (775) 329-2531

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1003173089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NORTHSTAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953566702",
            "telephone_number": "209-577-1200",
            "fax_number": "559-625-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NORTHSTAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953566702",
            "telephone_number": "209-577-1200",
            "fax_number": "209-577-6517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 S Dunworth St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932926702",
            "country_code": "US",
            "telephone_number": "559-625-0601",
            "fax_number": "559-625-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-VALLES",
        "first_name": "CHRISTY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "18764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003173089",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.