Individual provider Active NPI

Maureen A. Valley, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Rafael, CA
National Provider Identifier
1386692093
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
46706 Issued in CA
Practice address
126 Lucas Park Dr
San Rafael, CA 94903-1717
Phone
(415) 479-2400
Fax
(415) 901-2628
NPI assigned
May 5, 2006
Sex
Female
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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 46706 CA Primary

Addresses

Primary practice location

126 Lucas Park Dr
San Rafael, CA 94903-1717

Mailing address

2400 Las Gallinas Ave
Suite #130
San Rafael, CA 94903-1447
Phone (415) 479-2400

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

LicenseStateTypeSpecialty
46706CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386692093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LAS GALLINAS AVE",
            "address_2": "SUITE #130",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031447",
            "telephone_number": "415-479-2400",
            "fax_number": "415-901-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 LUCAS PARK DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031717",
            "telephone_number": "415-479-2400",
            "fax_number": "415-901-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEY",
        "first_name": "MAUREEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "46706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.