Active NPI
Giselle Valladares
- Physician Assistant
- Rosamond, CA
National Provider Identifier
1033955471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 67573
- Practice address
- 2651 Cold Creek Ave
Rosamond, CA 93560-6889 - Phone
- (661) 865-9920
- NPI assigned
- Jul 5, 2024
- Last updated
- Dec 30, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 67573 | Primary | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2651 Cold Creek Ave
Rosamond, CA 93560-6889
Mailing address
588 Longmeadow St
Longmeadow, MA 01106-2292
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1300 National Dr
Suite 135
Sacramento, CA 95834-1947
PO Box
Suite 769
Redway, CA 95560
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Community Health Clinic/Center
- Redway, CA
- NPI 1235206087
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jerold Phelps Community Hospital
- Critical Access Hospital
- Garberville, CA
- NPI 1003819376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1033955471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 LONGMEADOW ST",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011062292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 COLD CREEK AVE",
"city": "ROSAMOND",
"state": "CA",
"postal_code": "935606889",
"telephone_number": "661-865-9920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLADARES",
"first_name": "GISELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-05",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": "67573",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosamond, CA
- Southern Kern Unified School District
- Rachel Stevenson
- Sunyong J Won DDS Inc (Pacific Dental Care/ Dental Group)
- Douglas S Thomas Jr., CCC
- Thrifty Payless Inc (Rite Aid Pharmacy 05846)
- Kelly Vang
- Paola Lorena Vasquez
- Wellbeing RX Inc (Rosecare Pharmacy)
- Wellbeing RX Inc (rosecare pharmacy)
- Aarka Danielle Zarate Munoz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.