Individual provider Active NPI

Mirna G. Valdovinos, PA

  • Physician Assistant
  • Soledad, CA
National Provider Identifier
1538170246
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14991 Issued in CA
Practice address
799 Front St
Soledad, CA 93960-3017
Phone
(831) 678-0881
Fax
(831) 678-2803
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14991 CA Primary

Addresses

Primary practice location

799 Front St
Soledad, CA 93960-3017

Mailing address

440 Airport Blvd
Salinas, CA 93905-3302
Phone (831) 757-8689

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
I20120924000694 CA Practitioner - Physician Assistant 2769630326 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Mar 21, 2015 Accepting new patients
County of Monterey CurrentSince Mar 21, 2015 Accepting new patients
Monterey County Behavioral Health Division Past Accepting new patients
County of Monterey Past Accepting new patients

Locations

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

559 E Alisal St
Ste 201
Salinas, CA 93905
Phone (831) 769-8800

1441 Constitution Blvd
Bldg 151
Salinas, CA 93906
Phone (831) 755-8640

Organizations & group practices 5

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1538170246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 AIRPORT BLVD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939053302",
            "telephone_number": "831-757-8689",
            "fax_number": "831-757-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 FRONT ST",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939603017",
            "telephone_number": "831-678-0881",
            "fax_number": "831-678-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDOVINOS",
        "first_name": "MIRNA",
        "middle_name": "G.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "14991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soledad, CA

Sources for this page

Verify at the official NPI Registry.