Jan Alfred Balino Valdes, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

101103 Issued in CA

Practice address

9051 Mira Mesa Blvd
262561
San Diego, CA 92126

Phone

(619) 535-0085

Fax

(844) 273-4070

NPI assigned

Apr 16, 2010

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1114243029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262561",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921962561",
            "telephone_number": "619-535-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 MIRA MESA BLVD",
            "address_2": "262561",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92126",
            "telephone_number": "619-535-0085",
            "fax_number": "844-273-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "JAN ALFRED",
        "middle_name": "BALINO",
        "name_prefix": "Mr.",
        "credential": "MA, MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-16",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Valderrama
• Denise Frances Valderrama
• Randy Valderrama
• Beatriz Valdes, RBT
• Guido Francisco Valdes, MD
• Juan Carlos Valdes
• Klarissa Valdez Garcia
• Yeni Valdez Mendoza
• Natalia Alejandra Valdez Sandoval
• Alejandra Valdez-Beer, AMFT

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.