Individual provider Active NPI

Myra Valencia, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Oxnard, CA
National Provider Identifier
1548819964
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
95012501 Issued in CA
Practice address
2240 E Gonzales Rd Ste 110
Oxnard, CA 93036-8212
Phone
(805) 981-5161
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 95012501 CA Primary

Addresses

Primary practice location

2240 E Gonzales Rd Ste 110
Oxnard, CA 93036-8212

Mailing address

PO Box 10818
San Bernardino, CA 92423-0818

Other practice location 1

1700 Lombard St Ste 110
Oxnard, CA 93030-8288
Phone (805) 822-5879

Other names 1

  • Myra Sepulveda Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address myra.sepulveda@ventura.cernerdirect.com Direct

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
I20240828001830 CA Practitioner - Nurse Practitioner 6406395961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Jun 15, 2024 Accepting new patients
County of Ventura CurrentSince Jun 15, 2024 Accepting new patients
County of Ventura CurrentSince Nov 19, 2023 Accepting new patients
Renal Consultants of Ventura County, Inc PastSince Nov 19, 2023 Accepting new patients

Locations

2000 Outlet Center Dr
Ste 110
Oxnard, CA 93036
Phone (805) 604-4588

2240 E Gonzales Rd
Ste 100
Oxnard, CA 93036
Phone (805) 981-5151

2240 E Gonzales Rd
Ste 110
Oxnard, CA 93036
Phone (805) 961-5161

2240 E Gonzales Rd
Oxnard, CA 93036
Phone (805) 981-5101

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBCJAD
  • Direct secure messaging: myra.valencia.p1@direct.fpawomenshealth.nextgenshare.com

Organizations & group practices 4

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1548819964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10818",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E GONZALES RD STE 110",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930368212",
            "telephone_number": "805-981-5161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Lombard St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930308288",
            "country_code": "US",
            "telephone_number": "805-822-5879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "MYRA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "95012501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myra.sepulveda@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "2240 E Gonzales Rd Ste 110",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930368212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MYRA",
            "last_name": "SEPULVEDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.