Active NPI
Carolina Gutierrez-Valdez, DDS
- Dentist
- La Puente, CA
National Provider Identifier
1043794142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS103168
- Practice address
- 15454 Gale Ave Ste a
La Puente, CA 91745-1593 - Phone
- (626) 333-3600
- NPI assigned
- Sep 24, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS103168 | CA | Primary |
Addresses
Primary practice location
15454 Gale Ave Ste a
La Puente, CA 91745-1593
Mailing address
15454 Gale Ave Ste a
La Puente, CA 91745-1593
Phone (626) 333-3600
Other practice location 1
4055 E Olympic Blvd Ste 211
Los Angeles, CA 90023-3345
Phone (323) 264-0205
Other practice location 2
8345 Laurel Canyon Blvd
Sun Valley, CA 91352-3809
Phone (818) 351-3582
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS103168 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmen Valdez D.D.S Inc | Current | Accepting new patients | |
| Sahawneh Dental Corporation | Dentist | Past | Accepting new patients |
Locations
15454 Gale Ave
Ste A
La Puente, CA 91745
Phone (626) 333-3600
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.
-
- Clinic/Center
- Hacienda HTS, CA
- NPI 1760183677
-
- Dentist
- Sun Valley, CA
- NPI 1194313122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1043794142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15454 GALE AVE STE A",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917451593",
"telephone_number": "626-333-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15454 GALE AVE STE A",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917451593",
"telephone_number": "626-333-3600"
}
],
"practiceLocations": [
{
"address_1": "4055 E Olympic Blvd Ste 211",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900233345",
"country_code": "US",
"telephone_number": "323-264-0205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8345 Laurel Canyon Blvd",
"address_purpose": "LOCATION",
"city": "Sun Valley",
"state": "CA",
"postal_code": "913523809",
"country_code": "US",
"telephone_number": "818-351-3582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ-VALDEZ",
"first_name": "CAROLINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-24",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS103168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.