Alicia Valdiviezo

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11137 Issued in TX

Practice address

2046 Forest LN Ste 130
Garland, TX 75042

Phone

(975) 494-4494

Fax

(972) 494-4450

NPI assigned

Jul 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Cardiovascular Care of Dallas, PLLCGroup PAC ID 5597046672, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Premier Cardiovascular Care of Dallas, PLLC

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1356892558
  Medicare reassignment Care Compare group
• Athens Family Medicine LLC

  • Family Medicine Physician
  • Athens, GA
  • NPI 1427418391
  NPD (past)

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043662034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 FOREST LN STE 130",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427996",
            "telephone_number": "975-494-4494",
            "fax_number": "972-494-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 FOREST LN STE 130",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "975-494-4494",
            "fax_number": "972-494-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 Bandera Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782284006",
            "country_code": "US",
            "telephone_number": "210-433-2334 x26",
            "fax_number": "210-433-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDIVIEZO",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• US Dental Professionals Garland PLLC
• USA Medical PLLC
• Usrc Garland LLC
• Christopher Uvalle, PHARMD
• Claret Vadakel
• Glenn R Vale, BSMT, MSM, MBA
• Johan Joseph Valle, DO
• Michael Valverde
• Christopher E Van
• Sofia Vaqar, DMD

• Physician Assistant in Garland, TX
• Providers in Garland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.