Organization Active NPI

Julia W Valdez M D Inc

  • Ophthalmology Physician
  • Apple Valley, CA
National Provider Identifier
1477578250
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Sep 6, 2013

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GR0101730MedicaidCA

Other names 1

  • Valdez Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060114000074 CA Part B Supplier - Clinic/Group Practice 5991729121 Receives reassigned benefits from 4 practitioners
Practice locations: Apple Valley, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.