Fernando Manuel Valladarez Jr., MSW

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

119746 Issued in CA

Practice address

900 Quebec Ave
Corcoran, CA 93212-9715

Phone

(559) 992-7100

NPI assigned

Apr 24, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1235985011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 LINDA VISTA RD APT 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115338",
            "telephone_number": "559-410-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 QUEBEC AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932129715",
            "telephone_number": "559-992-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADAREZ",
        "first_name": "FERNANDO",
        "middle_name": "MANUEL",
        "name_suffix": "Jr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-24",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "119746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Student in an Organized Health Care Education/Training Program in Corcoran, CA
• Providers in Corcoran, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.