Jorge Vallejo, BA
Individual provider Active NPI Rehabilitation Practitioner · Newman, CA
NPI 1508380643 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1508380643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 330 Villa Manucha Rd
Newman, CA 95360-9749 - Phone
- (209) 996-9748
- NPI assigned
- Jul 31, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
330 Villa Manucha Rd
Newman, CA 95360-9749
Mailing address
330 Villa Manucha Rd
Newman, CA 95360-9749
Phone (209) 996-9748
Other providers in Newman, CA
- Smile Bright Family Dentistry of Newman
- Matthew Spiller
- Brenda Marie Street
- Thrifty Payless Inc
- Maricela Torres
- Alice Ann Marie Washington
- West Side Senior Care, LLC
- Westside Community Healthcare District
- Westside Community Healthcare District
All providers in Newman, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.