Active NPI
Patricia Valdez, PH.D.
- Clinical Psychologist
- West Covina, CA
National Provider Identifier
1578682068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY18497
- Practice address
- 1215 W West Covina Pkwy Ste 200
West Covina, CA 91790-2946 - Phone
- (626) 338-9200
- Fax
- (626) 856-1560
- NPI assigned
- Mar 28, 2007
- Last updated
- Aug 22, 2014
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY18497 | CA | Primary |
Addresses
Primary practice location
1215 W West Covina Pkwy Ste 200
West Covina, CA 91790-2946
Mailing address
14711 Romero Dr
Whittier, CA 90605-1237
Phone (626) 251-0317
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18497 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1578682068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14711 ROMERO DR",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906051237",
"telephone_number": "626-251-0317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 W WEST COVINA PKWY STE 200",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902946",
"telephone_number": "626-338-9200",
"fax_number": "626-856-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY18497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.