Individual provider Active NPI

Yajaira Camila Tipan Valdiviezo, RT

  • SNF/Subacute Care Registered Respiratory Therapist
  • San Diego, CA
National Provider Identifier
1033065198
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SNF/Subacute Care Registered Respiratory TherapistTaxonomy code 2279S1500X
License
49323 Issued in CA
Practice address
6431 Lake Tahoe CT
San Diego, CA 92119-2534
Phone
(619) 724-8780
NPI assigned
Mar 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SNF/Subacute Care Registered Respiratory Therapist 2279S1500X 49323 CA Primary

Addresses

Primary practice location

6431 Lake Tahoe CT
San Diego, CA 92119-2534

Mailing address

6431 Lake Tahoe CT
San Diego, CA 92119-2534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1033065198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 LAKE TAHOE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 LAKE TAHOE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192534",
            "telephone_number": "619-724-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPAN VALDIVIEZO",
        "first_name": "YAJAIRA",
        "middle_name": "CAMILA",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
            "state": "CA",
            "license": "49323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.