Yolanda Patricia Valles X

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

24028 Lake Drive
Crestiline, CA 92325

Phone

(909) 338-3222

NPI assigned

Oct 2, 2017

Last updated

Oct 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hearts & Lives

  • Community/Behavioral Health Agency
  • Blue Jay, CA
  • NPI 1801312905
  NPD (past)
• Hearts & Lives

  • Community/Behavioral Health Agency
  • Crestline, CA
  • NPI 1952749525
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1609386903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4644",
            "city": "BLUE JAY",
            "state": "CA",
            "postal_code": "923174644",
            "telephone_number": "909-338-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24028 LAKE DRIVE",
            "city": "CRESTILINE",
            "state": "CA",
            "postal_code": "92325",
            "telephone_number": "909-338-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLES",
        "first_name": "YOLANDA",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "name_suffix": "X",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.