Evan Jonathan Valle PC

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

EVAN JONATHAN VALLE PC

Practice address

15031 Rinaldi St
Mission Hills, CA 91345-1207

Phone

(818) 365-8051

NPI assigned

Jun 17, 2019

Organization subpart

No

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

Authorized official

Name

Evan Jonathan Valley, M.D.

Title

President

Phone

(650) 201-1026

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Jonathan Valle, M.D.

  • Trauma Surgery Physician
  • Orange, CA
  • NPI 1174843866
  Medicare reassignment NPD

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1245890706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E GLENARM ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053418",
            "telephone_number": "626-768-4415",
            "fax_number": "626-403-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15031 RINALDI ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451207",
            "telephone_number": "818-365-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN JONATHAN VALLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "VALLEY",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-201-1026",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MED LICENSE",
            "identifier": "A147393",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naruchon Engkatanakorn, M.D.
• Saul Daniel Escobar
• Jose Mari Z. Esparrago, M.D.
• Lorraine Margaret Estronick, AGACNP-BC
• Evan Jonathan Valle LLC
• Jennifer Gloria Evangelista, LMFT
• Excellent Palliative and Hospice Care, Inc.
• Exclusive Recovery Center Inc
• Facey Medical Group a Medical Corporation
• Mehdi Fakhrai, MD

• Trauma Surgery Physician in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Trauma Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.