Kyle P Valdez, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA65268 Issued in CA

Practice address

401 E Highland Ave Ste 351
San Bernardino, CA 92404-3830

Phone

(909) 475-8611

NPI assigned

May 8, 2023

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Western Bariatric a Medical CorporationGroup PAC ID 3476607052, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Western Bariatric, a Medical Corporation

  • Surgery Physician
  • San Bernardino, CA
  • NPI 1184821373
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  Care Compare affiliation

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1245920982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 W 94TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214390",
            "telephone_number": "720-563-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE STE 351",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043830",
            "telephone_number": "909-475-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "KYLE",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA65268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Aliana Valdepena, ACSW
• Jetza Sarai Valdez de la Rosa, ACSW
• Alexus Marie Valdez
• Djair Valdez
• Elizabeth Valdez
• Lauren Danae Lee Valdez
• Medie Pizarro Valdez
• Xitlali J Valdez
• Alexis Anahi Valdivia
• Roque Valdivia

• Surgical Physician Assistant in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.