Individual provider Active NPI

John A Valenzuela, PHD

  • Counseling Psychologist
  • Ojai, CA
National Provider Identifier
1114166402
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
32439 Issued in CA
Practice address
108 E Matilija St
Ojai, CA 93023-2639
Phone
(323) 364-4035
NPI assigned
Feb 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 32439 CA
Case Management Agency 251B00000X
Counseling Psychologist 103TC1900X 32439 CA Primary

Addresses

Primary practice location

108 E Matilija St
Ojai, CA 93023-2639

Mailing address

226 W Ojai Ave Ste 101
PMB #352
Ojai, CA 93023-3278
Phone (323) 364-4035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604002696 CA Practitioner - Clinical Psychologist 0648679027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

137 W El Roblar Dr
Ojai, CA 93023-2208
Phone (805) 766-7724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32439CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valenzuela and Associates, Psychologists, a Professional Corpo CurrentSince Mar 8, 2022 Accepting new patients
The Conscious Lyfe Psychological Services Inc. Clinical Child & Adolescent CurrentSince Apr 9, 2021 Accepting new patients

Locations

433 N Camden Dr
Fl 4
Beverly Hills, CA 90210
Phone (310) 360-0080

137 W El Roblar Dr
Ojai, CA 93023
Phone (805) 421-6032

108 E Matilija St
Ojai, CA 93023
Phone (323) 364-4035

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.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1114166402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W OJAI AVE STE 101",
            "address_2": "PMB #352",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233278",
            "telephone_number": "323-364-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E MATILIJA ST",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232639",
            "telephone_number": "323-364-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "32439",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "32439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

Verify at the official NPI Registry.