Individual provider Active NPI

Eduardo Valenzuela, PAC

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1760420376
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA161878 Issued in OR
Practice address
1426 Oak St
Eugene, OR 97401-4043
Phone
(541) 431-0000
NPI assigned
Jun 4, 2006
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA161878 OR Primary

Addresses

Primary practice location

1426 Oak St
Eugene, OR 97401-4043

Mailing address

1426 Oak St
Eugene, OR 97401-4043
Phone (541) 431-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000571 OR Practitioner - Physician Assistant 8325930431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

1426 Oak St
Eugene, OR 97401-4043
Phone (541) 431-0000

1488 Oak St
Eugene, OR 97401-4043
Phone (541) 431-0000

354 W Adams Ave
Sisters, OR 97759-2619
Phone (541) 549-9609

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3728AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Health, PC CurrentSince Jul 1, 2016 Accepting new patients
Praxis Health, PC CurrentSince Jul 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Washington Em-I Medical Services PC Physician Assistant Past Accepting new patients
Columbia Valley Emergency Physicians LLC Physician Assistant Past Accepting new patients
Washington Em-I Medical Services PC Past Accepting new patients

Locations

1426 Oak St
Eugene, OR 97401
Phone (541) 431-0000

1488 Oak St
Eugene, OR 97401
Phone (541) 431-0000

Organizations & group practices 6

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 5

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1760420376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014043",
            "telephone_number": "541-431-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014043",
            "telephone_number": "541-431-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "EDUARDO",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA161878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.