Active NPI
Allen Valcov
- Psychologist
- San Mateo, CA
National Provider Identifier
1235283136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY3424
- Practice address
- 1720 S Amphlett Blvd
Suite 123
San Mateo, CA 94402-2702 - Phone
- (650) 578-8691
- Fax
- (650) 578-8677
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY3424 | CA | Primary |
Addresses
Primary practice location
1720 S Amphlett Blvd
Suite 123
San Mateo, CA 94402-2702
Mailing address
2108 Pullman Ave
Belmont, CA 94002-1651
Phone (650) 593-5783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235283136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 PULLMAN AVE",
"city": "BELMONT",
"state": "CA",
"postal_code": "940021651",
"telephone_number": "650-593-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S AMPHLETT BLVD",
"address_2": "SUITE 123",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944022702",
"telephone_number": "650-578-8691",
"fax_number": "650-578-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALCOV",
"first_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY3424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.