Active NPI
Edgar Valencia
- Occupational Therapy Assistant
- Yuma, AZ
National Provider Identifier
1386298974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0TA-046608
- Practice address
- 450 W 6TH St
Yuma, AZ 85364-2973 - Phone
- (928) 502-4300
- NPI assigned
- Jul 31, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0TA-046608 | AZ | Primary |
Addresses
Primary practice location
450 W 6TH St
Yuma, AZ 85364-2973
Mailing address
550 E Robin LN Apt 23
Yuma, AZ 85365-2856
Phone (928) 261-7235
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0TA-046608 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Elementary School District One | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student in an Organized Health Care Education/Training Program
- Yuma, AZ
- NPI 1598811382
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1386298974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E ROBIN LN APT 23",
"city": "YUMA",
"state": "AZ",
"postal_code": "853652856",
"telephone_number": "928-261-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 W 6TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853642973",
"telephone_number": "928-502-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "EDGAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-31",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "0TA-046608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.