Individual provider Active NPI

Valerie Leigh Watiker, M.D.

  • Clinical Genetics (M.D.) Physician
  • Tarzana, CA
National Provider Identifier
1497821763
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
A83345 Issued in CA
Practice address
18375 Ventura Blvd # 569
Tarzana, CA 91356-4218
Phone
(310) 360-8383
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X A83345 CA Primary
Pediatrics Physician 208000000X A83345 CA

Addresses

Primary practice location

18375 Ventura Blvd # 569
Tarzana, CA 91356-4218

Mailing address

18375 Ventura Blvd # 569
Tarzana, CA 91356-4218
Phone (310) 360-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081229000148 CA Practitioner - Medical Genetics and GenomicsPractitioner - Pediatric Medicine 0345302360 Reassigns benefits to 2 organizations
I20240606004091 IL Practitioner - Internal Medicine 0345302360 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16717NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children'S Medical Group Pediatrics CurrentSince Dec 17, 2018 Accepting new patients
Carle Health Care Incorporated CurrentSince May 20, 2024 Accepting new patients
Valerie L. Watiker M.D. Inc Past Accepting new patients
UC Regents Uci Dept of Pediatrics Pediatrics Past Accepting new patients
Liliana Sloninsky, M.D., a Medical Corporation Pediatrics Past Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: vwatiker128815@ummc.direct-ci.com
  • Direct secure messaging: vwatiker473440@oc.providencedirect.org

Organizations & group practices 6

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1497821763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18375 VENTURA BLVD # 569",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564218",
            "telephone_number": "310-360-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18375 VENTURA BLVD # 569",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564218",
            "telephone_number": "310-360-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATIKER",
        "first_name": "VALERIE",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "A83345",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A83345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.