Valley Womens Care Apc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

42234 Issued in AZ

Legal business name

VALLEY WOMENS CARE APC

Practice address

2501 E Chapman Ave Ste 107
Fullerton, CA 92831-3135

Phone

(714) 409-6881

Fax

(480) 422-8886

NPI assigned

Jul 14, 2012

Last updated

Oct 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mirna Demirdjian, MDNPI 1407085665

Title

Medical Director/Ceo

Phone

(714) 409-6881

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Valley Womens Care PLLC Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mirna Demirdjian, MD

  • Obstetrics & Gynecology Physician
  • Fullerton, CA
  • NPI 1407085665
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1342224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1366797581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8064 DORADO CIR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081969",
            "telephone_number": "714-409-6881",
            "fax_number": "480-422-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE STE 107",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313135",
            "telephone_number": "714-409-6881",
            "fax_number": "480-422-8886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2034 S Alma School Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852104024",
            "country_code": "US",
            "telephone_number": "480-426-0200",
            "fax_number": "480-422-8886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY WOMENS CARE APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-14",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "DEMIRDJIAN",
        "authorized_official_first_name": "MIRNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "714-409-6881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "42234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407085665",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440426",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Practicefusion",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2501 E Chapman Ave Ste 107",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928313135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Valley Womens Care PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Natalie Perdomo Valle, MSN-FNP-C, MPH
• Kimberly Vallejo
• Leticia Vallejo
• Candy Valles
• Valley Radiotherapy Associates Medical Group Inc
• Brittany Van Kirk
• Crystal Lynn Van Maanen
• Jane Ellen Van Wagoner, MFT
• Dinh Truong Phat Van
• Valerie Van

• Obstetrics & Gynecology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.