Jesse Garron Valdivia

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN265905 Issued in CA

Practice address

2531 W Woodland Dr
Anaheim, CA 92801-2637

Phone

(714) 226-9888

NPI assigned

Oct 25, 2016

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

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1740732791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 W WOODLAND DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012637",
            "telephone_number": "714-226-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 W WOODLAND DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012637",
            "telephone_number": "714-226-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIA",
        "first_name": "JESSE",
        "middle_name": "GARRON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN265905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Valdez
• Patricia Valdez
• Cecelia Valdivia, LMFT
• Chau Valdivia, OD
• Jair Valdivia
• Joanna Gabriela Valdivia
• Samantha Valdivia
• Shalom Valdivieso, ABAT
• Juan Carlos Valencia Arellano, LVN
• Anneke Valencia

• Licensed Vocational Nurse in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.