Active NPI
Andrea Valadez, M.D.
- Pediatrics Physician
- Hawthorne, CA
National Provider Identifier
1801130398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A122732
- Practice address
- 4455 W 117TH St Ste 300
Hawthorne, CA 90250 - Phone
- (310) 645-0444
- NPI assigned
- Nov 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A122732 | CA | Primary |
Addresses
Primary practice location
4455 W 117TH St Ste 300
Hawthorne, CA 90250
Mailing address
2550 W Main St Ste 301
Alhambra, CA 91801-7003
Phone (626) 457-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122732 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ardmore Medical Group | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
- General Practice Physician
- El Monte, CA
- NPI 1578624672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1801130398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 W MAIN ST STE 301",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918017003",
"telephone_number": "626-457-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 W 117TH ST STE 300",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "90250",
"telephone_number": "310-645-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALADEZ",
"first_name": "ANDREA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-21",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A122732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.