Individual provider Active NPI

Andrew Joseph Valadez

  • Physician Assistant
  • Walnut Creek, CA
National Provider Identifier
1366111882
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
710 S Broadway Ste 212
Walnut Creek, CA 94596-5219
Phone
(925) 388-9800
NPI assigned
Sep 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

710 S Broadway Ste 212
Walnut Creek, CA 94596-5219

Mailing address

710 S Broadway Ste 212
Walnut Creek, CA 94596-5219
Phone (925) 388-9800

Other practice location 1

50 Acacia Ave
San Rafael, CA 94901-2230
Phone (805) 262-7749

Other practice location 2

197 Whispering Trees Ln
Danville, CA 94526-2427
Phone (408) 207-6027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329000719 CA Practitioner - Physician Assistant 2163896366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62187CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrew.valadez.1@24990.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1366111882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S BROADWAY STE 212",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965219",
            "telephone_number": "925-388-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BROADWAY STE 212",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965219",
            "telephone_number": "925-388-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Acacia Ave",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949012230",
            "country_code": "US",
            "telephone_number": "805-262-7749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "197 Whispering Trees Ln",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "CA",
            "postal_code": "945262427",
            "country_code": "US",
            "telephone_number": "408-207-6027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALADEZ",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.