Individual provider Active NPI

Irving Martin Serrano Valondo

  • Rehabilitation Practitioner
  • Riverside, CA
National Provider Identifier
1184534893
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
10281 Kidd St
Riverside, CA 92503-3414
Phone
(951) 715-5050
NPI assigned
Sep 8, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X CA Primary

Addresses

Primary practice location

10281 Kidd St
Riverside, CA 92503-3414

Mailing address

10281 Kidd St
Riverside, CA 92503-3414
Phone (951) 715-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1184534893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10281 KIDD ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033414",
            "telephone_number": "951-715-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10281 KIDD ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033414",
            "telephone_number": "951-715-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALONDO",
        "first_name": "IRVING MARTIN",
        "middle_name": "SERRANO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.