NPIMap

Individual provider Active NPI

Guillermo J Valenzuela, MD

  • Maternal & Fetal Medicine Physician
  • Colton, CA
National Provider Identifier
1730263484
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A38671 Issued in CA
Practice address
400 N Pepper Ave
Mob 206
Colton, CA 92324-1801
Phone
(909) 580-6333
Fax
(909) 580-3289
NPI assigned
Oct 25, 2006
Last updated
May 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A38671 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Mob 206
Colton, CA 92324-1801

Mailing address

PO Box 1762
Colton, CA 92324-0857
Phone (909) 580-6332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090729000689 CA Practitioner - Obstetrics/Gynecology 8729072087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Obstetrics and Gynecology Medical Group IncGroup PAC ID 7113911470, 10 clinicians

Practice addresses (Care Compare)

400 N Pepper Ave
2Mob206
Colton, CA 92324-1801
Phone (909) 580-2270

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A38671CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics & Gynecology Medical Group, Inc. CurrentSince Aug 9, 1993 Accepting new patients
Pacific Perinatal Institute Maternal & Fetal Medicine CurrentSince May 1, 2020 Accepting new patients
Pediatrix Cardiology of Orange County, P.C. Past Accepting new patients
Inland Faculty Specialists, a California Professional Corporation Maternal & Fetal Medicine PastSince Dec 15, 2019 Accepting new patients
De Anza Obstetrics and Gynecology Medical Group, Inc. Maternal & Fetal Medicine PastSince Jul 20, 1998 Accepting new patients
Reuben C Castillo, Professional Corporation Past Accepting new patients
Valenzuela Medical Group I, Inc. PastSince Jun 7, 1999 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

400 N Pepper Ave
#2
Colton, CA 92324
Phone (909) 580-2270

400 N Pepper Ave
#206
Colton, CA 92324
Phone (909) 580-2270

400 N Pepper Ave
#2M206
Colton, CA 92324
Phone (909) 580-3470

400 N Pepper Ave
Fl 6
Colton, CA 92324
Phone (909) 387-8205

400 N Pepper Ave
Ste 2M206
Colton, CA 92324
Phone (317) 900-3912

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: guillermo.valenzuela.p1@direct.chsica.nextgenshare.com
  • Direct secure messaging: guillermo.valenzuela.p2@direct.mpmccorp.nextgenshare.com
  • Direct secure messaging: guillermo.valenzuela.p6@direct.mpmccorp.nextgenshare.com
  • Direct secure messaging: gvalenzuela18079@armc.direct.summit-healthcare.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1730263484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1762",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923240857",
            "telephone_number": "909-580-6332",
            "fax_number": "909-580-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "MOB 206",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-6333",
            "fax_number": "909-580-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "GUILLERMO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A38671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.