Lisa Vallesteros

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63351 Issued in CA

Practice address

1131 N Vermont Ave Ste 102
Los Angeles, CA 90029-1764

Phone

(323) 661-6706

NPI assigned

Apr 22, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lisa Vallesteros DDS Inc

  • General Practice Dentistry
  • Studio City, CA
  • NPI 1265180459
  NPD Authorized official

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1780004366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N VERMONT AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N VERMONT AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291764",
            "telephone_number": "323-661-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLESTEROS",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Valles, NP
• Rebecca Ann Valles
• Reuben Valles Jr., MD
• Sandy Valles, LCSW
• Valancy Valles
• Valley Clinica Medica General Medical Center Inc
• Valley Creek Hospice, Inc.
• Valley Star Behavioral Health, Inc.
• Valley Star Behavioral Health, Inc.
• Graham Valley

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Apr 22, 2014; 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.