Individual provider Active NPI

Jesse Najera Valdez, PHD

  • Psychologist
  • Santa Barbara, CA
National Provider Identifier
1609225523
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 0001224 Issued in CO
Practice address
915 N Milpas St
FL 2
Santa Barbara, CA 93103-2331
Phone
(805) 617-7850
Fax
(805) 963-8880
NPI assigned
Jun 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY13824 CA
Psychologist 103T00000X PSY 0001224 CO Primary

Addresses

Primary practice location

915 N Milpas St
FL 2
Santa Barbara, CA 93103-2331

Mailing address

915 N Milpas St
FL 2
Santa Barbara, CA 93103-2331
Phone (805) 617-7850

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

LicenseStateTypeSpecialty
PSY13824CAMDPsychologist
PSY 0001224COMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1609225523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N MILPAS ST",
            "address_2": "FL 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032331",
            "telephone_number": "805-617-7850",
            "fax_number": "805-963-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N MILPAS ST",
            "address_2": "FL 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032331",
            "telephone_number": "805-617-7850",
            "fax_number": "805-963-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "JESSE",
        "middle_name": "NAJERA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13824",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY 0001224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.