Individual provider Active NPI

Yanet Lopez Valdes, PA

  • Medical Physician Assistant
  • Clermont, FL
National Provider Identifier
1053085233
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PACN112 Issued in FL
Practice address
245 Citrus Tower Blvd Ste 201
Clermont, FL 34711-1907
Phone
(352) 708-3021
Fax
(352) 708-6153
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PACN112 FL Primary

Addresses

Primary practice location

245 Citrus Tower Blvd Ste 201
Clermont, FL 34711-1907

Mailing address

245 Citrus Tower Blvd Ste 201
Clermont, FL 34711-1907
Phone (352) 708-3021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260320000633 FL Practitioner - Physician Assistant 5991289696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1112 Saguaro St
Haines City, FL 33844-8477

245 Citrus Tower Blvd
Suite 201
Clermont, FL 34711-1907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PACN112FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Care Medical Group LLC CurrentSince Mar 12, 2026 Accepting new patients

Locations

245 Citrus Tower Blvd
Ste 201
Clermont, FL 34711
Phone (352) 708-3021

1428 Sunrise Plaza Dr
Ste 1
Clermont, FL 34714
Phone (352) 708-3021

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21939/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1053085233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CITRUS TOWER BLVD STE 201",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111907",
            "telephone_number": "352-708-3021",
            "fax_number": "352-708-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CITRUS TOWER BLVD STE 201",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111907",
            "telephone_number": "352-708-3021",
            "fax_number": "352-708-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VALDES",
        "first_name": "YANET",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PACN112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.