Carlos Valenzuela

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CARLOS VALENZUELA

Practice address

4224 Ohio St
San Diego, CA 92104-1320

Phone

(619) 280-9174

Fax

(619) 280-9286

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Carlos Valenzuela

Title

Certified Orthotist Owner

Phone

(619) 280-9174

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sole Proprietor Other name

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1508876442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 OHIO ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041320",
            "telephone_number": "619-280-9174",
            "fax_number": "619-280-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 OHIO ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041320",
            "telephone_number": "619-280-9174",
            "fax_number": "619-280-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS VALENZUELA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CERTIFIED ORTHOTIST OWNER",
        "authorized_official_telephone_number": "619-280-9174"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GC000680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sole Proprietor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William V Carlo, D.M.D.
• Joslyn Carlon
• Carlos Gonzalez Counseling
• Carlos Montalvo Enterprises
• Carlos Montalvo Enterprises
• Adriana Carlos
• Alexandra Carlos
• Jonathan Carlos
• Jose Carlos
• Yahveh Alma Carloz, NP

• Prosthetic/Orthotic Supplier in San Diego, CA
• Providers in San Diego, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.