Active NPI
Melanie Valdez
- Physical Therapy Assistant
- Lake Elsinore, CA
National Provider Identifier
1699316489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 53012 Astrid Way
Lake Elsinore, CA 92532-1572 - Phone
- (951) 486-1708
- NPI assigned
- Oct 2, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
53012 Astrid Way
Lake Elsinore, CA 92532-1572
Mailing address
53012 Astrid Way
Lake Elsinore, CA 92532-1572
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | melaniebalot@yahoo.com |
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": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1699316489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53012 ASTRID WAY",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925321572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53012 ASTRID WAY",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925321572",
"telephone_number": "951-486-1708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "MELANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "melaniebalot@yahoo.com",
"affiliation": "N",
"address_1": "53012 Astrid Way",
"city": "Lake Elsinore",
"state": "CA",
"country_code": "US",
"postal_code": "925321572",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.