Mary Katherine Valenzuela

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT8710 Issued in CA

Practice address

1538 E Warner Ave
Suite a
Santa Ana, CA 92705-5476

Phone

(714) 434-4773

NPI assigned

Sep 28, 2010

Sex

Female

Sole proprietor

No

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": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1477862274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15961 GARNET ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 E WARNER AVE",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055476",
            "telephone_number": "714-434-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT8710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Fern Valenzuela, LMFT
• Ivana Valenzuela
• Jeanette Valenzuela
• Julianna Valenzuela
• Kristina Marie Valenzuela, BS BUSINESS ADMINIST
• Stephanie Monique Valenzuela
• Toni Love Valenzuela
• Arleni Valerio
• Fritzi Mariana Valladares
• Amairani Valle

• Pediatric Physical Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.