NPIMap

Individual provider Active NPI

Jessica Valencia

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1144743683
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1150 S Olive St Ste 1400
Los Angeles, CA 90015-2871
Phone
(213) 821-5977
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Rehabilitation Practitioner 225400000X
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1150 S Olive St Ste 1400
Los Angeles, CA 90015-2871

Mailing address

1150 S Olive St Ste 1400
Los Angeles, CA 90015-2871
Phone (213) 821-5977

Other practice location 1

17800 US Highway 18
Apple Valley, CA 92307-1221
Phone (760) 946-8200 ext. 275

Other practice location 2

5800 S Eastern Ave Ste 270
Commerce, CA 90040
Phone (323) 888-9496

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alma Family Services Past Accepting new patients
Alma Family Services Past Accepting new patients

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144743683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S OLIVE ST STE 1400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152871",
            "telephone_number": "213-821-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S OLIVE ST STE 1400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152871",
            "telephone_number": "213-821-5977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17800 US Highway 18",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923071221",
            "country_code": "US",
            "telephone_number": "760-946-8200 x275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5800 S Eastern Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "90040",
            "country_code": "US",
            "telephone_number": "323-888-9496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.