Chau Valdivia, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34289TLG Issued in CA

Practice address

947 S Anaheim Blvd Ste 230
Anaheim, CA 92805-5591

Phone

(714) 491-0881

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1194206847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD STE 230",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055591",
            "telephone_number": "714-491-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD STE 230",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055591",
            "telephone_number": "714-491-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIA",
        "first_name": "CHAU",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34289TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "0000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OfficeMate",
            "affiliation": "N",
            "address_1": "947 S Anaheim Blvd Ste 230",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928055591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karla L Valdez, BA, WCII
• Melanie Valdez
• Miranda Valdez
• Patricia Valdez
• Cecelia Valdivia, LMFT
• Jair Valdivia
• Jesse Garron Valdivia
• Joanna Gabriela Valdivia
• Samantha Valdivia
• Shalom Valdivieso, ABAT

• Optometrist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.