Active NPI
Regalado Angelo Valerio Jr., CRNA
- Registered Nurse
- Valencia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 713419
- Practice address
- 23953 Rustico CT
Valencia, CA 91354-1559 - Phone
- (310) 880-7341
- NPI assigned
- Nov 7, 2013
- Last updated
- Oct 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 713419 | CA | Primary |
Addresses
Primary practice location
23953 Rustico CT
Valencia, CA 91354-1559
Mailing address
23953 Rustico CT
Valencia, CA 91354-1559
Phone (310) 880-7341
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 713419 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheldon Jordan, M.D., Inc. | Current | Accepting new patients | |
| Foothill Anesthesia, Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Lac-Usc | Past | Accepting new patients |
Locations
13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417
301 S Fair Oaks Ave
Ste 301
Pasadena, CA 91105
Phone (626) 714-7347
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
207 S Santa Anita St
Ste G16
San Gabriel, CA 91776
Phone (626) 289-2223
15243 Vanowen St
Ste 202
Van Nuys, CA 91405
Phone (818) 419-6659
888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400
5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Pasadena, CA
- NPI 1285695650
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Interventional Pain Medicine Physician
- Santa Monica, CA
- NPI 1043241995
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Lancaster, CA
- NPI 1982863783
-
- Critical Access Hospital
- Los Angeles, CA
- NPI 1669808879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1417386756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23953 RUSTICO CT",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913541559",
"telephone_number": "310-880-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23953 RUSTICO CT",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913541559",
"telephone_number": "310-880-7341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALERIO",
"first_name": "REGALADO",
"middle_name": "ANGELO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "713419",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5601 De Soto Ave",
"city": "Woodland Hills",
"state": "CA",
"country_code": "US",
"postal_code": "913676701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.