Irene Denise Valenzuela, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14480 Issued in CA

Practice address

1377 S Grand Ave
Glendora, CA 91740-5047

Phone

(909) 652-2933

Fax

(909) 949-9302

NPI assigned

Aug 7, 2014

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1457760019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1772",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851772",
            "telephone_number": "909-652-2933",
            "fax_number": "909-949-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405047",
            "telephone_number": "909-652-2933",
            "fax_number": "909-949-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "IRENE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald L Unruh, PHD
• Michael Preston Uthoff, PSYD
• Mayank J Vakil, M.D.
• Crystal Ruby Valdez, A.C.S.W.
• Kristina Valencia, RN
• Janeil Marie Valenzuela, RN
• Daniela Vallette
• Valley Gastoenterology Consultants
• Michele T Vargas, DO
• Jorge Vasquez

• Family Nurse Practitioner in Glendora, CA
• Providers in Glendora, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.