Individual provider Active NPI

Dorian Valdez, FNP

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1003588914
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018594 Issued in CA
Practice address
7567 Rhode Island CT
Rancho Cucamonga, CA 91730-8263
Phone
(909) 646-2893
NPI assigned
Sep 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018594 CA Primary

Addresses

Primary practice location

7567 Rhode Island CT
Rancho Cucamonga, CA 91730-8263

Mailing address

7567 Rhode Island CT
Rancho Cucamonga, CA 91730-8263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510001050 CA Practitioner - Nurse Practitioner 0547647794 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7831 Monticello Ave
Suite 1102
Rancho Cucamonga, CA 91739-8879
Phone (909) 285-2098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95018594CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physicians Medical Allied Group Inc CurrentSince Sep 3, 2024 Accepting new patients
Global Medical GRP Inc CurrentSince Nov 15, 2023 Accepting new patients
Global Mobile Medical Alliances, Inc. CurrentSince Nov 15, 2023 Accepting new patients
Clinic Services of California Medical Group Inc CurrentSince May 12, 2022 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Dec 17, 2024 Accepting new patients
Global Integrated Medical Group, Inc. CurrentSince Nov 15, 2023 Accepting new patients
Team Physicians of Northern California Medical Group Inc CurrentSince May 12, 2022 Accepting new patients
Carbon Health Medical Group of California PC Past Accepting new patients

Locations

11971 Central Ave
Ste B
Chino, CA 91710
Phone (909) 310-1488

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722

14117 Limonite Ave
Ste 300
Eastvale, CA 92880
Phone (951) 210-7237

8851 Center Dr
Ste 600
La Mesa, CA 91942
Phone (619) 589-0785

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206

7831 Monticello Ave
Ste 1102
Rancho Cucamonga, CA 91739
Phone (909) 285-2098

1499 E Highland Ave
Sn Bernrdno, CA 92404
Phone (855) 422-8029

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

1535 W Merced Ave
Ste 202
West Covina, CA 91790
Phone (626) 337-6246

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1003588914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7567 RHODE ISLAND CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7567 RHODE ISLAND CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308263",
            "telephone_number": "909-646-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "DORIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.