Active NPI
Stephanie Valbuena, MA, OTR/L
- Occupational Therapist
- Irvine, CA
National Provider Identifier
1144505041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12092
- Practice address
- 17461 Derian Ave Ste 114
Irvine, CA 92614 - Phone
- (949) 788-9236
- NPI assigned
- Oct 12, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12092 | CA | Primary |
Addresses
Primary practice location
17461 Derian Ave Ste 114
Irvine, CA 92614
Mailing address
19271 Echo Pass Rd
Portola Hills, CA 92679-1097
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12092 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icec | Past | Accepting new patients |
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.
-
- Specialist
- Irvine, CA
- NPI 1477868008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1144505041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19271 ECHO PASS RD",
"city": "PORTOLA HILLS",
"state": "CA",
"postal_code": "926791097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17461 DERIAN AVE STE 114",
"city": "IRVINE",
"state": "CA",
"postal_code": "92614",
"telephone_number": "949-788-9236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALBUENA",
"first_name": "STEPHANIE",
"credential": "MA, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.