Individual provider Active NPI

Anne-Marie Vaillant-Newman, P.T.,M.A.

  • Specialist
  • Temecula, CA
National Provider Identifier
1538219985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT24993 Issued in CA
Practice address
27475 Ynez Rd # 318
Temecula, CA 92591-4612
Phone
(951) 600-0634
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT24993 CA Primary

Addresses

Primary practice location

27475 Ynez Rd # 318
Temecula, CA 92591-4612

Mailing address

27475 Ynez Rd # 318
Temecula, CA 92591-4612
Phone (951) 600-0634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PT24993CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538219985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27475 YNEZ RD # 318",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914612",
            "telephone_number": "951-600-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27475 YNEZ RD # 318",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914612",
            "telephone_number": "951-600-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAILLANT-NEWMAN",
        "first_name": "ANNE-MARIE",
        "credential": "P.T.,M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT24993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.