Individual provider Active NPI

Alma Rocio Del Valle, PA

  • Medical Physician Assistant
  • Sacramento, CA
National Provider Identifier
1497055198
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21259 Issued in CA
Practice address
3635 Bradshaw Rd Ste B
Sacramento, CA 95827-3277
Phone
(916) 368-1500
Fax
(916) 368-1501
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA21259 CA Primary

Addresses

Primary practice location

3635 Bradshaw Rd Ste B
Sacramento, CA 95827-3277

Mailing address

3504 Redgold Way
Sacramento, CA 95826-4631
Phone (916) 717-9225

Other identifiers 1

IdentifierTypeStateIssuer
1093420OtherCANCCPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000407 CA Practitioner - Physician Assistant 0042499162 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luxvitality Medical CorpGroup PAC ID 3971004680, 4 clinicians
Capitol Urgent Care IncGroup PAC ID 5294992343, 12 clinicians

Practice addresses (Care Compare)

3635 Bradshaw Rd
Suite B
Sacramento, CA 95827-3277
Phone (916) 447-0661

7200 S Land Park Dr
Suite 100
Sacramento, CA 95831-3669
Phone (916) 422-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21259CAMDFamily Medicine Physician
PA21259CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Family Practice,Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1497055198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 REDGOLD WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958264631",
            "telephone_number": "916-717-9225",
            "fax_number": "916-341-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 BRADSHAW RD STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958273277",
            "telephone_number": "916-368-1500",
            "fax_number": "916-368-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VALLE",
        "first_name": "ALMA",
        "middle_name": "ROCIO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1093420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.