Antoinette Delvalle, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A7063 Issued in CA

Practice address

22521 Avenida Empresa Ste 107
Rancho Santa Margarita, CA 92688-2041

Phone

(949) 888-4661

Fax

(949) 888-3645

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pediatric Subspecialty Faculty, Inc.

  • Pediatrics Physician
  • Orange, CA
  • NPI 1790850279
  NPD (past)
• Sea View Pediatric Medical Assoc. Inc.

  • Pediatrics Physician
  • Laguna Hills, CA
  • NPI 1518034941
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1285826248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22521 AVENIDA EMPRESA STE 107",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882041",
            "telephone_number": "949-888-4661",
            "fax_number": "949-888-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22521 AVENIDA EMPRESA STE 107",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882041",
            "telephone_number": "949-888-4661",
            "fax_number": "949-888-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVALLE",
        "first_name": "ANTOINETTE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A7063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lea Dawson, LMFT 81526
• Jonathan Dawson, D.C.
• Paul Day
• Deep Medical Clinic, Inc
• Carla S Defraine, PD.D.
• Zak Dennis, ATC
• Alexa Lynn Desilva, PA-C
• Peter S Desilva, MD
• Kendra Devor, PSY.D.
• Fatema Zahra Dewji, PHYSICIAN ASSISTANT

• Pediatrics Physician in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.