Fernando David Valladares, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301043 Issued in CA

Practice address

400 S Reino Rd Ste 101
Newbury Park, CA 91320-4285

Phone

(805) 277-2233

NPI assigned

Oct 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rubin and Blum Chiropractic IncorporatedGroup PAC ID 7416377452, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ryan Rubin Chiropractic Incorporated

  dba Synergy

  • Chiropractor
  • Westlake Village, CA
  • NPI 1205307683

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1396417952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 SINALOA RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655426",
            "telephone_number": "805-428-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S REINO RD STE 101",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204285",
            "telephone_number": "805-277-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES",
        "first_name": "FERNANDO",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unicare Diagnostics LLC (BreatheRite Pharmacy)
• Unicare Diagnostics LLC (Breathe Rite Pharmacy)
• Corinne Elizabeth Uyema, LVN
• Julie Ann Valde Lopez, D.D.S.
• Alma Valdovinos
• Velvet Hearts Professional Home Care Agency LLC
• Ventura Spine Institute, a Medical Corporation
• Venturacounty Behavioral Health Alcohol and Drug Programs
• Michael R P Vivian, MD
• Wade J Dahlberg Sr (West Coast Pharmaceutical Services)

• Physical Therapist in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.