Active NPI
Mary Grace Tan Valentin
- Pharmacist
- Panorama City, CA
National Provider Identifier
1558973248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82976
- Practice address
- 8333 Van Nuys Blvd
Panorama City, CA 91402-3607 - Phone
- (818) 830-9846
- NPI assigned
- Aug 23, 2020
- Last updated
- Jun 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82976 | CA | Primary |
Addresses
Primary practice location
8333 Van Nuys Blvd
Panorama City, CA 91402-3607
Mailing address
8600 International Ave Apt 243
Canoga Park, CA 91304-2674
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82976 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1558973248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 INTERNATIONAL AVE APT 243",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913042674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 VAN NUYS BLVD",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914023607",
"telephone_number": "818-830-9846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTIN",
"first_name": "MARY GRACE",
"middle_name": "TAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-23",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.