Active NPI
Gabriel Valencia III
- Addiction (Substance Use Disorder) Counselor
- Santa Maria, CA
National Provider Identifier
1285365452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15721-RAC
- Practice address
- 135 Carmen LN
Santa Maria, CA 93458-7729 - Phone
- (805) 332-4568
- NPI assigned
- Jun 20, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15721-RAC | CA | Primary |
Addresses
Primary practice location
135 Carmen LN
Santa Maria, CA 93458-7729
Mailing address
403 W Morrison Ave Apt 207
Santa Maria, CA 93458-8170
Phone (805) 867-8925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033665526 | Medicaid | CA |
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 |
|---|---|---|---|
| 15721-RAC | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1285365452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 W MORRISON AVE APT 207",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934588170",
"telephone_number": "805-867-8925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 CARMEN LN",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587729",
"telephone_number": "805-332-4568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "GABRIEL",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "15721-RAC",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033665526",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.