Maria Socorro Ilagan Valdez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101649 Issued in CA

Practice address

242 La Pala Dr
San Jose, CA 95127-2103

Phone

(510) 659-8000

NPI assigned

Aug 18, 2017

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: maria.valdez@sjffcc.eclinicaldirectplus.com
• Direct secure messaging: mvaldez330465@direct.ochin.org

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1750807970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 NORTHWOOD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95132",
            "telephone_number": "408-799-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 LA PALA DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272103",
            "telephone_number": "510-659-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "MARIA SOCORRO",
        "middle_name": "ILAGAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie D Valdez-Tran, LCSW, PPSC
• Coralia S Valdez, LMFT
• Jennifer Valdez
• Jessica Valdez
• Jocelin Mariela Valdez
• Richard Valdez
• Sara Valdez
• Vanessa Valdez
• Carmina Valdivia
• Troy Valdivia, LCSW

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.