Individual provider Active NPI

Valerie Marshall, MBA GERONTOLOGY

  • Specialist
  • Hesperia, CA
National Provider Identifier
1396594917
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6048336740 Issued in CA
Practice address
14628 Main St
Hesperia, CA 92345-3323
Phone
(442) 800-5750
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6048336740 CA Primary

Addresses

Primary practice location

14628 Main St
Hesperia, CA 92345-3323

Mailing address

14628 Main St
Hesperia, CA 92345-3323
Phone (442) 800-5750

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
6048336740CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Adult Day Healthcare Inc. Current Accepting new patients
Unique Adult Day Healthcare Inc. Current Accepting new patients

Locations

14628 Main St
Hesperia, CA 92345
Phone (760) 244-0576

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": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1396594917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14628 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453323",
            "telephone_number": "442-800-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14628 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453323",
            "telephone_number": "442-800-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "VALERIE",
        "name_prefix": "Miss",
        "credential": "MBA GERONTOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "6048336740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.