Active NPI
Juan Orlando Valladolid
- Addiction (Substance Use Disorder) Counselor
- Oxnard, CA
National Provider Identifier
1255704334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11481
- Practice address
- 4333 E Vineyard Ave
Oxnard, CA 93036-1013 - Phone
- (805) 981-5500
- NPI assigned
- Nov 11, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | ||
| Community Health Worker | 172V00000X | |||
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11481 | CA | Primary |
Addresses
Primary practice location
4333 E Vineyard Ave
Oxnard, CA 93036-1013
Mailing address
4333 E Vineyard Ave
Oxnard, CA 93036-1013
Phone (805) 981-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11481 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Methadone Clinic
- Banning, CA
- NPI 1376293407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1255704334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4333 E VINEYARD AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930361013",
"telephone_number": "805-981-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4333 E VINEYARD AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930361013",
"telephone_number": "805-981-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLADOLID",
"first_name": "JUAN",
"middle_name": "ORLANDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-11",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "11481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.