Active NPI
Jay Edward Vallortigara, RPH
- Oncology Pharmacist
- Hayward, CA
National Provider Identifier
1033299888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 36405
- Practice address
- 27400 Hesperian Blvd
Hayward, CA 94545-4235 - Phone
- (510) 784-4479
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 36405 | CA | Primary |
Addresses
Primary practice location
27400 Hesperian Blvd
Hayward, CA 94545-4235
Mailing address
22500 Canyon Terrace Dr
Castro Valley, CA 94552-5495
Phone (510) 537-9689
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36405 | CA | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033299888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22500 CANYON TERRACE DR",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945525495",
"telephone_number": "510-537-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27400 HESPERIAN BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945454235",
"telephone_number": "510-784-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLORTIGARA",
"first_name": "JAY",
"middle_name": "EDWARD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CA",
"license": "36405",
"primary": true
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.