Active NPI
Valla Jean Dale, M.F.T.
- Marriage & Family Therapist
- Hayward, CA
National Provider Identifier
1013033596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC38855
- Practice address
- 24301 Southland Dr
Suite 605B
Hayward, CA 94545-1542 - Phone
- (510) 757-7777
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC38855 | CA | Primary |
| Specialist | 174400000X | LPCC573 | CA |
Addresses
Primary practice location
24301 Southland Dr
Suite 605B
Hayward, CA 94545-1542
Mailing address
24301 Southland Dr
Suite 605B
Hayward, CA 94545-1542
Phone (510) 757-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 22, 2024 through Jan 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC38855 | CA | MD | Marriage & Family Therapist |
| 38855 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| LPCC573 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1013033596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24301 SOUTHLAND DR",
"address_2": "SUITE 605B",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451542",
"telephone_number": "510-757-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24301 SOUTHLAND DR",
"address_2": "SUITE 605B",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451542",
"telephone_number": "510-757-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALE",
"first_name": "VALLA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC38855",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "LPCC573",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.