Individual provider Active NPI

Oscar Ivan Valdez, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1194126763
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
131261 Issued in CA
Practice address
3400 Central Ave Ste 215
Riverside, CA 92506-2175
Phone
(951) 934-8944
NPI assigned
Sep 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 108587 CA
Marriage & Family Therapist 106H00000X 131261 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

3400 Central Ave Ste 215
Riverside, CA 92506-2175

Mailing address

PO Box 20809
Riverside, CA 92516-0809
Phone (909) 258-7685

Other practice location 1

2275 S Main St Ste 201
Corona, CA 92882-5303
Phone (951) 279-1333

Other practice location 2

1260 E Arrow Hwy
Upland, CA 91786-4982
Phone (909) 932-1069

Other practice location 3

14700 Manzanita Park Rd
Beaumont, CA 92223
Phone (951) 845-3155

Other practice location 4

4775 Sunnyside Dr
Riverside, CA 92506-2320
Phone (909) 258-7685

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
Transformational Family Counseling PC Marriage & Family Therapist CurrentSince May 22, 2022 Accepting new patients

Locations

3400 Central Ave
Ste 215
Riverside, CA 92506
Phone (951) 934-8944

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.

NPI Registry JSON

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

{
    "created_epoch": "1410652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1194126763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20809",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925160809",
            "telephone_number": "909-258-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CENTRAL AVE STE 215",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062175",
            "telephone_number": "951-934-8944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 S Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928825303",
            "country_code": "US",
            "telephone_number": "951-279-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 E Arrow Hwy",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864982",
            "country_code": "US",
            "telephone_number": "909-932-1069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14700 Manzanita Park Rd",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "92223",
            "country_code": "US",
            "telephone_number": "951-845-3155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4775 Sunnyside Dr",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062320",
            "country_code": "US",
            "telephone_number": "909-258-7685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "OSCAR",
        "middle_name": "IVAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-14",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108587",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131261",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 20, 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.