Individual provider Active NPI

Holly Janelle Valerio, MD

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1508064122
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C192519 Issued in CA
Practice address
12625 High Bluff Drive
Suite 101, RM 6
San Diego, CA 92130-2053
Phone
(215) 948-2577
Fax
(816) 339-3952
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C192519 CA Primary
Psychiatry Physician 2084P0800X MD437796 PA

Addresses

Primary practice location

12625 High Bluff Drive
Suite 101, RM 6
San Diego, CA 92130-2053

Mailing address

12625 High Bluff Dr Ste 101
San Diego, CA 92130-2053
Phone (215) 948-2577

Other practice location 1

191 Presidential Blvd Ste Ln24
Bala Cynwyd, PA 19004-1263
Phone (215) 948-2577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 27, 2022 through Apr 27, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C192519CAMDPsychiatry Physician
MD437796PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon House - Delaware Inc Past Accepting new patients

Organizations & group practices 1

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1508064122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "215-948-2577",
            "fax_number": "816-339-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DRIVE",
            "address_2": "SUITE 101, RM 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "215-948-2577",
            "fax_number": "816-339-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Presidential Blvd Ste Ln24",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041263",
            "country_code": "US",
            "telephone_number": "215-948-2577",
            "fax_number": "816-339-3952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALERIO",
        "first_name": "HOLLY",
        "middle_name": "JANELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C192519",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD437796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.