Individual provider Active NPI

Jose L. Valdez, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1386607174
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A45658 Issued in CA
Practice address
1125 E 17TH St
Ste E-224
Santa Ana, CA 92701-2201
Phone
(714) 547-0634
Fax
(714) 547-9920
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A45658 CA Primary

Addresses

Primary practice location

1125 E 17TH St
Ste E-224
Santa Ana, CA 92701-2201

Mailing address

2192 N Grandview Rd
Orange, CA 92867-6402
Phone (714) 974-2720

Other identifiers 1

IdentifierTypeStateIssuer
00A456580MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090723000081 CA Practitioner - Family Practice 0446302350 Reassigns benefits to 1 organization
Practice locations: Santa Ana, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1125 E 17TH St
E224
Santa Ana, CA 92701-2221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A45658CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose L Valdez MD Inc CurrentSince Apr 19, 2025 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

1125 E 17th St
Ste E224
Santa Ana, CA 92701
Phone (714) 401-9375

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386607174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2192 N GRANDVIEW RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676402",
            "telephone_number": "714-974-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "STE E-224",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "714-547-0634",
            "fax_number": "714-547-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "JOSE",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A456580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.