Active NPI
Carlos Mario Valdez, DC
- Chiropractor
- Montebello, CA
National Provider Identifier
1568567725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC14520
- Practice address
- 1615 W Whittier Blvd
Montebello, CA 90640-4002 - Phone
- (323) 722-3300
- Fax
- (323) 722-7989
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC14520 | CA | Primary |
Addresses
Primary practice location
1615 W Whittier Blvd
Montebello, CA 90640-4002
Mailing address
1615 W Whittier Blvd
Montebello, CA 90640-4002
Phone (323) 722-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AW602A | Other | CA | MEDICARE PPTN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14520 | CA | MD | Professional Counselor |
| DC14520 | CA | MD | Chiropractor |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1568567725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 W WHITTIER BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404002",
"telephone_number": "323-722-3300",
"fax_number": "323-722-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 W WHITTIER BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404002",
"telephone_number": "323-722-3300",
"fax_number": "323-722-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "CARLOS",
"middle_name": "MARIO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC14520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PPTN",
"identifier": "AW602A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.