Madeleine M Valencerina MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A51043 Issued in CA

Legal business name

MADELEINE M VALENCERINA MD INC

Practice address

14730 Beach Blvd
Suite 123
La Mirada, CA 90638

Phone

(714) 521-8262

Fax

(562) 690-5330

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Madeleine M Valencerina, MDNPI 1437284809

Title

Owner Provider

Phone

(714) 521-8262

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madeleine M Valencerina, M.D.

  • Psychiatry Physician
  • La Mirada, CA
  • NPI 1437284809
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1043370158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4500",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907034500",
            "telephone_number": "714-521-8262",
            "fax_number": "562-690-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14730 BEACH BLVD",
            "address_2": "SUITE 123",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "90638",
            "telephone_number": "714-521-8262",
            "fax_number": "562-690-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELEINE M VALENCERINA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "VALENCERINA",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "714-521-8262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A51043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A510430",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A510431",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anh-Thu Jessica Luu, DPM
• Adele Lyman
• Jessica Megan Lynn, BCBA
• M Jung and Mary Patuwo Dental Corporation
• Edjeska Macandili
• Ulises Madrigal
• Justin Mahinan
• Maralyn Therapy
• Louis Edward Marchioli, M.D.
• Levon Margolin, PH.D.

• Psychiatry Physician in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.