Active NPI
Joyce Valencia, NP
- Nurse Practitioner
- San Jose, CA
National Provider Identifier
1457892101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95005433
- Practice address
- 2690 S White Rd Ste 50
San Jose, CA 95148 - Phone
- (408) 223-7000
- Fax
- (408) 223-7001
- NPI assigned
- Mar 14, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95005433 | CA | Primary |
Addresses
Primary practice location
2690 S White Rd Ste 50
San Jose, CA 95148
Mailing address
2690 S White Rd
#50
San Jose, CA 95148-2076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1116341 | Other | CA | FAMILY NURSE PRACTITIONER CERTIFICATION |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170509001779 | CA | Order and Referring Only - Nurse Practitioner | 7719264316 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1457892101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 S WHITE RD",
"address_2": "#50",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951482076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 S WHITE RD STE 50",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95148",
"telephone_number": "408-223-7000",
"fax_number": "408-223-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "JOYCE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95005433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER CERTIFICATION",
"identifier": "F1116341",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.