Paul S. Vallejo, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E4299 Issued in CA

Practice address

410 W Central Ave
204
Brea, CA 92821-3014

Phone

(714) 990-4422

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Department of State HospitalsGroup PAC ID 9638174238, 275 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Department of State Hospitals

  dba Coalinga State Hospital

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment Care Compare group NPD
• Wtfootcare, Professional Physician Assistant Corporation

  dba WTFootcare, Inc

  • Physician Assistant
  • Rancho Cucamonga, CA
  • NPI 1841818747
  Medicare reassignment NPD
• Paul S. Vallejo, DPM, Inc.

  • Foot Surgery Podiatrist
  • Brea, CA
  • NPI 1407975857
  Authorized official Same address or phone
• Og Mobile Medical Group

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1851007173
  NPD
• Carey a. Bledsoe, D.P.M., a Professional Medical Corporation

  • Foot & Ankle Surgery Podiatrist
  • Upland, CA
  • NPI 1639448244
  NPD (past)
• Foot Fitness Center Podiatry Group

  • Foot & Ankle Surgery Podiatrist
  • Yorba Linda, CA
  • NPI 1124264833

  Foot Surgery

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003927203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16606 PENNARD LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361236",
            "telephone_number": "909-822-2075",
            "fax_number": "866-389-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W CENTRAL AVE",
            "address_2": "204",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213014",
            "telephone_number": "714-990-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "PAUL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Vaccher
• Jasmine Valadez, PT, DPT
• Eder Valdez
• Angelica Valencia
• Mason A Valenzuela
• Paige Valles, DACM
• Judith Ann Van Bebber, MFT
• Gregory James Van Camp, D.P.T., A.T., C.
• Erin Vangent, PT, DPT
• Jessica Varela

• Foot Surgery Podiatrist in Brea, CA
• Providers in Brea, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.