Michael Shawn Valdez, M.D.

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

G79406 Issued in CA

Practice address

2743 Orange St
Riverside, CA 92501-2503

Phone

(800) 300-7326

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clear View Behavioral Services

  • Marriage & Family Therapist
  • Redlands, CA
  • NPI 1396117388
  NPD
• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Upland, CA
  • NPI 1659662351
  NPD
• His House New Creation Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Upland, CA
  • NPI 1376371187
  NPD
• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Colton, CA
  • NPI 1710707310
  NPD (past)
• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Claremont, CA
  • NPI 1740569235
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1205923224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50042",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "818-893-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 ORANGE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012503",
            "telephone_number": "800-300-7326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23950 Prado Ln",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923249734",
            "country_code": "US",
            "telephone_number": "909-514-1958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865979",
            "country_code": "US",
            "telephone_number": "909-981-6121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18612 Santa Ana Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "CA",
            "postal_code": "923162636",
            "country_code": "US",
            "telephone_number": "909-421-7120",
            "fax_number": "909-421-7128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "MICHAEL",
        "middle_name": "SHAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G79406",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G79406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaeger Valdez
• Jose Refugio Valdez Jr.
• Klarissa Danielle Valdez
• Leilany Valdez
• Marissa Ariana Valdez
• Oscar Ivan Valdez, LMFT
• Rhiannnon Nichole Valdez
• Natalie Valdin
• Brianna Valdivia
• Fatima Valdivia

• Addiction Medicine (Preventive Medicine) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Addiction Medicine (Preventive Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.