Miriam Karina Vallejo Ugalde, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95026156 Issued in CA

Practice address

2271 E Palmdale Blvd Ste E
Palmdale, CA 93550-1340

Phone

(661) 538-9922

Fax

(661) 538-9199

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miriam Karina Vallejo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

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.

• Palmdale Pediatric Center Inc

  • Pediatric Adolescent Medicine Physician
  • Palmdale, CA
  • NPI 1427385525
  NPD (past)

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1255194072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 REDMAN AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906061052",
            "telephone_number": "562-665-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 E PALMDALE BLVD STE E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935501340",
            "telephone_number": "661-538-9922",
            "fax_number": "661-538-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO UGALDE",
        "first_name": "MIRIAM",
        "middle_name": "KARINA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "VALLEJO",
            "middle_name": "KARINA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Raquel Pineda Valenzuela, LVN
• Ricky Valenzuela
• Sandra Valenzuela
• Luis Valiente Fuentes, NONE
• Wendy Aristomelia Valle
• Margaret Vallejo
• Maria Jennifer Vallejo
• Valley Orthopedic Institute
• Valley Tumor Medical Group a Medical Corporation
• Christopher Ann Vallier, L..C.S.W., J.D.

• Family Nurse Practitioner in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.