Individual provider Active NPI

Lionel Valles

  • Marriage & Family Therapist
  • Santa Paula, CA
National Provider Identifier
1720111073
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
725 E Main St FL 3
Santa Paula, CA 93060-2748
Phone
(805) 933-8480
Fax
(805) 933-2614
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

725 E Main St FL 3
Santa Paula, CA 93060-2748

Mailing address

285 N Garden St
Ventura, CA 93001-2532
Phone (818) 371-1417

Other practice location 1

133 W Santa Clara St
Ventura, CA 93001-2543
Phone (805) 641-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lionel.valles@ventura.cernerdirect.com Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401003344 CA Practitioner - Marriage and Family Therapist 7214375989 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53826CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Feb 18, 2024 Accepting new patients
County of Ventura CurrentSince Feb 18, 2024 Accepting new patients
County of Ventura Current Accepting new patients

Locations

725 E Main St
Fl 3
Santa Paula, CA 93060
Phone (805) 933-8440

133 W Santa Clara St
Ventura, CA 93001
Phone (805) 641-5600

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1720111073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 N GARDEN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012532",
            "telephone_number": "818-371-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E MAIN ST FL 3",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602748",
            "telephone_number": "805-933-8480",
            "fax_number": "805-933-2614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 W Santa Clara St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930012543",
            "country_code": "US",
            "telephone_number": "805-641-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLES",
        "first_name": "LIONEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-06-10",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lionel.valles@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "133 W Santa Clara St",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930012543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.