Active NPI
Efrain Torres Valladolid, M.D.
- Family Medicine Physician
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A61474
- Practice address
- 584 E St
Chula Vista, CA 91910-2348 - Phone
- (619) 420-1378
- Fax
- (619) 420-1331
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A61474 | CA | Primary |
Addresses
Primary practice location
584 E St
Chula Vista, CA 91910-2348
Mailing address
584 E St
Chula Vista, CA 91910-2348
Phone (619) 420-1378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A614740 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, San Diego School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
584 E St
Chula Vista, CA 91910-2348
Phone (619) 420-1378
Hospital & facility affiliations
- Archer Health Inc
- Sharp Chula Vista Medical Center
- Sharp Coronado Hospital and Hlthcr Ctr
- Sharp Memorial Hospital
- Grossmont Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A61474 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Family Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Sharp Chula Vista Medical Center | Past | Accepting new patients |
Locations
584 E St
Ste 18
Chula Vista, CA 91910
Phone (619) 420-1378
584 E St
Chula Vista, CA 91910
Phone (619) 409-9000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- evalladolid32406@sharphealthcare.direct-ci.com
- https://api.platform.athenahealth.com/13156/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Chula Vista, CA
- NPI 1508920984
-
- Skilled Nursing Facility
- Chula Vista, CA
- NPI 1538142369
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- Home Health Agency
- Carlsbad, CA
- NPI 1053741017
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1407051782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 E ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919102348",
"telephone_number": "619-420-1378",
"fax_number": "619-420-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 E ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919102348",
"telephone_number": "619-420-1378",
"fax_number": "619-420-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLADOLID",
"first_name": "EFRAIN",
"middle_name": "TORRES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A61474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A614740",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.