Jesse Attilio Vallera, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT17223 Issued in CA

Practice address

4845 Narragansett Ave Apt 5
San Diego, CA 92107-3168

Phone

(952) 261-9661

NPI assigned

Jul 21, 2017

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457874471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 NARRAGANSETT AVE APT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073168",
            "telephone_number": "952-261-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 NARRAGANSETT AVE APT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073168",
            "telephone_number": "952-261-9661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 E Washington Ave.",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "92020",
            "country_code": "US",
            "telephone_number": "952-261-9661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLERA",
        "first_name": "JESSE",
        "middle_name": "ATTILIO",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT17223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvador Alindada Vallebo Jr., IDC
• Kelley Anne Vallecillo
• Andrea Vallejo
• Giselle Elsa Vallejo, LPCC
• Velkis Lisbeth Vallejo
• Elizabeth Valles, CPNP-PC, NP-C
• Irving Valles
• Damion Jay Valletta, D.O.
• Valley View Sanitarium & Rest Home (Harps Court)
• Valley View Sanitarium & Rest Home (Innsdale Lane)

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.