Rainilda P. Valencia, M.D., Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A53787 Issued in CA

Legal business name

RAINILDA P. VALENCIA, M.D., INC.

Practice address

12677 Hesperia Rd
Suite 160
Victorville, CA 92395-7735

Phone

(760) 955-5656

Fax

(760) 955-6176

NPI assigned

Dec 19, 2011

Last updated

Dec 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maryellen Kidwell

Title

Office Manager

Phone

(760) 955-5656

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19354/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neland Kisinger, PNP

  • Pediatric Nurse Practitioner
  • Victorville, CA
  • NPI 1790917680
  NPD (past)
• Micaela Marin-Tucker, PA-C

  • Medical Physician Assistant
  • Victorville, CA
  • NPI 1922239953
  NPD (past)
• Megan Reynolds, PNP

  • Pediatric Nurse Practitioner
  • Victorville, CA
  • NPI 1629493150
  NPD (past)
• Deepika Saini, M.D.

  • Pediatrics Physician
  • Victorville, CA
  • NPI 1013032762
  NPD (past)
• Rainilda Pinga Valencia, M.D.

  • Pediatrics Physician
  • Victorville, CA
  • NPI 1114009107
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1548539653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD",
            "address_2": "SUITE 160",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "760-955-5656",
            "fax_number": "760-955-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD",
            "address_2": "SUITE 160",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "760-955-5656",
            "fax_number": "760-955-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINILDA P. VALENCIA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "KIDWELL",
        "authorized_official_first_name": "MARYELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-955-5656",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A53787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A537870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamika Michile Marie Rabb
• Maria Concepcion Rabe, MD
• Manya Radfar, BCGP
• Rahul Nayyar MD Inc
• Jenny Rain, PH.D.
• Sumitha Rajkumar, MD
• Adrienne Ramirez
• Amanda Christine Ramirez
• Carlos Ramirez
• Cindy Ramirez

• Pediatrics Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.