Valdez Medical Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A52626 Issued in CA

Legal business name

VALDEZ MEDICAL CORP

Practice address

1850 Sullivan Ave Ste 420
Daly City, CA 94015-2204

Phone

(650) 756-1214

Fax

(650) 756-3579

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Amelia B Valdez, MDNPI 1124053012

Title

Owner

Phone

(650) 756-1214

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amelia Bautista Valdez, M.D.

  • Family Medicine Physician
  • Vallejo, CA
  • NPI 1124053012
  Medicare reassignment NPD Authorized official
• Viven B Valdez, D.O.

  • General Practice Physician
  • Daly City, CA
  • NPI 1508174665
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1730218405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE STE 420",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152204",
            "telephone_number": "650-756-1214",
            "fax_number": "650-756-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE STE 420",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152204",
            "telephone_number": "650-756-1214",
            "fax_number": "650-756-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDEZ MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-756-1214",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI(TYPE I)",
            "identifier": "1124053012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather S Ussery-Knight
• Richmond P Uy, RCP
• Edward P Vahey, D.M.D., M.S.
• Clarinda T Valderrama, DDS
• Elizabeth Valderrama
• Ingrid Valdez, MED
• Tomas C Valdez Jr., DPM
• Viven B Valdez, D.O.
• Angelica Faye Valenzuela, PT
• Samantha Marii Valenzuela, CPHT

• Family Medicine Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.