Active NPI
Florentino Valdez, PHYSICIAN ASSISTANT
- Physician Assistant
- Corcoran, CA
National Provider Identifier
1689701567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 18533
- Practice address
- 1310 Hanna Ave Ste 1
Corcoran, CA 93212-2314 - Phone
- (559) 992-8200
- Fax
- (559) 992-8673
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 18533 | CA | Primary |
Addresses
Primary practice location
1310 Hanna Ave Ste 1
Corcoran, CA 93212-2314
Mailing address
1479 W Lacey Blvd
Hanford, CA 93230-5906
Phone (559) 583-4617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150119000019 | CA | Order and Referring Only - Physician Assistant | 0547584773 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1689701567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 W LACEY BLVD",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305906",
"telephone_number": "559-583-4617",
"fax_number": "559-583-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 HANNA AVE STE 1",
"city": "CORCORAN",
"state": "CA",
"postal_code": "932122314",
"telephone_number": "559-992-8200",
"fax_number": "559-992-8673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "FLORENTINO",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "18533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corcoran, CA
- Ger M Thao, ACSW
- Thrifty Payless Inc (Rite Aid Pharmacy 06395)
- Jenny Marie Turner, LCSW
- Godwin Ugwueze, MD
- United Health Centers of the San Joaquin Valley
- Fernando Manuel Valladarez Jr., MSW
- Valley Emergency Physicians (Corcoran Emergency Medical Group Inc.)
- Valley Family Health Center (Maternal & Child Care Center)
- Valley Family Health Center Medical Group, Inc. (Maternal & Child Care Center)
- Mikaela Marie Vierra, ASW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.