Individual provider Active NPI

Stacey Valdez, D.P.M.

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1770843336
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5144 Issued in CA
Practice address
3616 E 1St St
Los Angeles, CA 90063-2326
Phone
(323) 264-6157
Fax
(323) 264-9737
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5144 CA Primary

Addresses

Primary practice location

3616 E 1St St
Los Angeles, CA 90063-2326

Mailing address

3616 East 1St Street
Los Angeles, CA 90063
Phone (323) 264-6157

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151001000821 CA Practitioner - Podiatry 7214249093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gabriel J Halperin D P M IncGroup PAC ID 2163411075, 4 clinicians

Practice addresses (Care Compare)

3616 E 1St St
Los Angeles, CA 90063-2326
Phone (323) 264-6157

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue467
Removal of skin lesions15
Removal of nail tissue604
Removal or shaving of skin growth601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5144CAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Podiatry Group Inc. CurrentSince Jan 1, 2016 Accepting new patients
On-Site Podiatry Services, Inc. PastSince Mar 6, 2022 Accepting new patients
California Wound Healing Medical Group Inc. PastSince Sep 16, 2024 Accepting new patients

Locations

100 E Huntington Dr
Ste 209
Alhambra, CA 91801
Phone (323) 262-4146

3616 E 1st St
Los Angeles, CA 90063
Phone (213) 264-6157

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: svaldez3076252@oc.providencedirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1770843336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 EAST 1ST STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90063",
            "telephone_number": "323-264-6157",
            "fax_number": "323-264-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632326",
            "telephone_number": "323-264-6157",
            "fax_number": "323-264-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "STACEY",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "5144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.