Individual provider Active NPI

Valerie VA Tcha, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Madera, CA
National Provider Identifier
1033989603
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
13417288 Issued in CA
Practice address
36331 Avenue 15
Madera, CA 93636-2019
Phone
(559) 283-4743
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 13417288 CA Primary

Addresses

Primary practice location

36331 Avenue 15
Madera, CA 93636-2019

Mailing address

36331 Avenue 15
Madera, CA 93636-2019
Phone (559) 283-4743

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250124001536 CA Practitioner - Nurse Practitioner 4183153869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Dreams Medical Corporation PCGroup PAC ID 7113353160, 21 clinicians

Practice addresses (Care Compare)

3656 W Shaw Ave
Fresno, CA 93711-3231
Phone (559) 823-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13417288CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Dreams Medical Corporation PC CurrentSince Nov 17, 2024 Accepting new patients
Affiliated Physician Practice Inc PastSince Nov 17, 2024 Accepting new patients

Locations

3656 W Shaw Ave
Fresno, CA 93711
Phone (559) 388-8430

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1033989603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36331 AVENUE 15",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936362019",
            "telephone_number": "559-283-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36331 AVENUE 15",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936362019",
            "telephone_number": "559-283-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHA",
        "first_name": "VALERIE",
        "middle_name": "VA",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "13417288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.