Active NPI
Laura Georgina Valdovinos, MD
- Psychiatry Physician
- Riverside, CA
National Provider Identifier
1306940473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G76074
- Practice address
- 5887 Brockton Ave
Suite a Riverside Psychiatric Medical Group
Riverside, CA 92506 - Phone
- (951) 275-8500
- Fax
- (951) 275-8560
- NPI assigned
- Sep 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G76074 | CA | Primary |
Addresses
Primary practice location
5887 Brockton Ave
Suite a Riverside Psychiatric Medical Group
Riverside, CA 92506
Mailing address
5887 Brockton Ave
Suite a Riverside Psychiatric Medical Group
Riverside, CA 92506
Phone (951) 275-8500
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G76074 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1306940473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5887 BROCKTON AVE",
"address_2": "SUITE A RIVERSIDE PSYCHIATRIC MEDICAL GROUP",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92506",
"telephone_number": "951-275-8500",
"fax_number": "951-275-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5887 BROCKTON AVE",
"address_2": "SUITE A RIVERSIDE PSYCHIATRIC MEDICAL GROUP",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92506",
"telephone_number": "951-275-8500",
"fax_number": "951-275-8560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDOVINOS",
"first_name": "LAURA",
"middle_name": "GEORGINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G76074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.