Individual provider Active NPI

Roseanne Valdez-Hughes

  • Counselor
  • Yucaipa, CA
National Provider Identifier
1093910580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
34324 Yucaipa Blvd
Suite B
Yucaipa, CA 92399-2496
Phone
(909) 790-1300
Fax
(909) 797-9687
NPI assigned
Jun 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CA Primary

Addresses

Primary practice location

34324 Yucaipa Blvd
Suite B
Yucaipa, CA 92399-2496

Mailing address

PO Box 7369
Redlands, CA 92375-0369
Phone (909) 335-7067

Other identifiers 1

IdentifierTypeStateIssuer
4779OtherCASIMON STAFF NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093910580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7369",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923750369",
            "telephone_number": "909-335-7067",
            "fax_number": "909-792-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34324 YUCAIPA BLVD",
            "address_2": "SUITE B",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992496",
            "telephone_number": "909-790-1300",
            "fax_number": "909-797-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ-HUGHES",
        "first_name": "ROSEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMON STAFF NUMBER",
            "identifier": "4779",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.