Jessie Del Valle

Primary specialty

DriverTaxonomy code 172A00000X

License

D3179321 Issued in CA

Practice address

44 Visitacion Ave Ste 102
Brisbane, CA 94005-1575

Phone

(415) 528-0022

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

Locations

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.

• Weelibear LLC.

  • Non-emergency Medical Transport (VAN)
  • Brisbane, CA
  • NPI 1497470991
  NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1699499608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 VISITACION AVE STE 102",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051575",
            "telephone_number": "415-528-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 VISITACION AVE STE 102",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051575",
            "telephone_number": "415-528-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VALLE",
        "first_name": "JESSIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "D3179321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jon Baker
• Marielle Celis Bolano, MD
• Caredx Inc.
• Joyce Chan, PHARMD
• Jamie Dananberg, MD
• Deepa Dharmarajan, M.D.
• Jacinta Tu-Tram Sy DO, DPM
• Maryam Esmaeili
• Robert Stephen Fishman, MD
• James E Fitzgerald, DDS

• Driver in Brisbane, CA
• Providers in Brisbane, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.