Active NPI
Vallerie Chacon
- Psychologist
- Colton, CA
National Provider Identifier
1306325998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1007 E Cooley Dr
Colton, CA 92324-3901 - Phone
- (760) 837-0033
- NPI assigned
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1007 E Cooley Dr
Colton, CA 92324-3901
Mailing address
10300 4TH St Ste 240
Rancho Cucamonga, CA 91730-5808
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1306325998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 4TH ST STE 240",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 E COOLEY DR",
"city": "COLTON",
"state": "CA",
"postal_code": "923243901",
"telephone_number": "760-837-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACON",
"first_name": "VALLERIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.