Individual provider Active NPI

Alfredo Valiente

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1699274142
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
2770 S Maryland Pkwy # 108B-G
Las Vegas, NV 89109-1554
Phone
(702) 463-7779
NPI assigned
Feb 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

2770 S Maryland Pkwy # 108B-G
Las Vegas, NV 89109-1554

Mailing address

308 W Cincinnati Ave Apt 8
Las Vegas, NV 89102-5063

Other practice location 1

1951 Stella Lake St Ste 36
Las Vegas, NV 89106-2144
Phone (702) 595-8309

Other identifiers 1

IdentifierTypeStateIssuer
2101765879MedicaidNV

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

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1699274142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W CINCINNATI AVE APT 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY # 108B-G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091554",
            "telephone_number": "702-463-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 Stella Lake St Ste 36",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891062144",
            "country_code": "US",
            "telephone_number": "702-595-8309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALIENTE",
        "first_name": "ALFREDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-09",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101765879",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.