Active NPI
Valerieanne Navalta Delacruz, PA-C
- Physician Assistant
- Santa Rosa, CA
National Provider Identifier
1467084590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 68456
- Practice address
- 220 Concourse Blvd
Santa Rosa, CA 95403-8210 - Phone
- (844) 527-7369
- Fax
- (844) 847-4943
- NPI assigned
- Feb 6, 2020
- Reactivated
- Jan 23, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 68456 | CA | Primary |
| Medical Physician Assistant | 363AM0700X | 68456 | CA |
Addresses
Primary practice location
220 Concourse Blvd
Santa Rosa, CA 95403-8210
Mailing address
220 Concourse Blvd
Santa Rosa, CA 95403-8210
Phone (844) 527-7369
Other practice location 1
5150 Hill Rd E Ste C
Lakeport, CA 95453-5100
Phone (844) 527-7369
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1384 W Burgundy CT
Hanford, CA 93230-8178
PO Box
Suite 10417
Holyoke, MA 01041
PO Box
Suite 16309
Jacksonville, FL 32245
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadiant, LLC | Past | Accepting new patients | |
| Central Valley Autism Project, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Santa Clara, CA
- NPI 1215680699
-
- Behavior Analyst
- Riverbank, CA
- NPI 1700183803
-
- Behavior Analyst
- Oakland, CA
- NPI 1811547052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1467084590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CONCOURSE BLVD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954038210",
"telephone_number": "844-527-7369",
"fax_number": "844-847-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 CONCOURSE BLVD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954038210",
"telephone_number": "844-527-7369",
"fax_number": "844-847-4943"
}
],
"practiceLocations": [
{
"address_1": "5150 Hill Rd E Ste C",
"address_purpose": "LOCATION",
"city": "Lakeport",
"state": "CA",
"postal_code": "954535100",
"country_code": "US",
"telephone_number": "844-527-7369",
"fax_number": "844-847-4943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELACRUZ",
"first_name": "VALERIEANNE",
"middle_name": "NAVALTA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"deactivation_date": "2024-01-16",
"reactivation_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "68456",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "68456",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.