Individual provider Active NPI

Dorothy Melissa Valcin, FNP-BC

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1700429131
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345127 Issued in NY
Practice address
9777 Via de la Amistad
San Diego, CA 92154-7209
Phone
(619) 671-8146
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F345127-01 NY
Family Nurse Practitioner 363LF0000X 345127 NY Primary

Addresses

Primary practice location

9777 Via de la Amistad
San Diego, CA 92154-7209

Mailing address

12612 Challenger Pkwy
Orlando, FL 32826-2759
Phone (407) 306-8441

Other identifiers 1

IdentifierTypeStateIssuer
5867161MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
345127NYMDFamily Nurse Practitioner
F345127-01NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1700429131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262759",
            "telephone_number": "407-306-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 VIA DE LA AMISTAD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921547209",
            "telephone_number": "619-671-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALCIN",
        "first_name": "DOROTHY",
        "middle_name": "MELISSA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345127-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5867161",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.