Active NPI
Julia W Valdez M D Inc
- Ophthalmology Physician
- Apple Valley, CA
National Provider Identifier
1477578250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JULIA W VALDEZ M D INC
- Practice address
- 16031 Tuscola Rd
Apple Valley, CA 92307-1319 - Phone
- (760) 946-2020
- Fax
- (760) 242-3170
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vivencio Deleon Valdez Jr., C.P.A.
- Title
- Administrator
- Phone
- (760) 953-8351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
16031 Tuscola Rd
Apple Valley, CA 92307-1319
Mailing address
16031 Tuscola Rd
Apple Valley, CA 92307-1319
Phone (760) 946-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0101730 | Medicaid | CA |
Other names 1
- Valdez Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12550 Hesperia Rd
Ste 220
Victorville, CA 92395
Phone (760) 596-0870
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- City of Industry, CA
- NPI 1699825083
-
- Retina Specialist (Ophthalmology) Physician
- Beverly Hills, CA
- NPI 1124298575
-
- Ophthalmology Physician
- Apple Valley, CA
- NPI 1205855285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378425600000",
"number": "1477578250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16031 TUSCOLA RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071319",
"telephone_number": "760-946-2020",
"fax_number": "760-242-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16031 TUSCOLA RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071319",
"telephone_number": "760-946-2020",
"fax_number": "760-242-3170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIA W VALDEZ M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2013-09-06",
"status": "A",
"authorized_official_last_name": "VALDEZ",
"authorized_official_first_name": "VIVENCIO",
"authorized_official_middle_name": "DELEON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "760-953-8351",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "C.P.A."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0101730",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valdez Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.