Active NPI
Tomas C Valdez Jr., DPM
- Podiatrist
- Daly City, CA
National Provider Identifier
1811092687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3922
- Practice address
- 1850 Sullivan Ave
Ste 310
Daly City, CA 94015 - Phone
- (650) 296-1906
- Fax
- (650) 755-3883
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3922 | CA | Primary |
Addresses
Primary practice location
1850 Sullivan Ave
Ste 310
Daly City, CA 94015
Mailing address
1850 Sullivan Ave
Ste No 310
Daly City, CA 94015-2221
Phone (650) 296-1906
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3577370001 | Other | CIGNA ONE | |
| 000E39220 | Medicaid | CA | |
| 000E39220 | Other | BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050817000557 | CA | Practitioner - Podiatry | 4587694765 | Practice locations: Daly City, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1850 Sullivan Ave
Daly City, CA 94015-2204
Phone (650) 296-1906
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 246 |
| Removal of nail tissue | 2135 |
| Removal or shaving of skin growth | 1858 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3922 | CA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1811092687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 SULLIVAN AVE",
"address_2": "STE NO 310",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152221",
"telephone_number": "650-296-1906",
"fax_number": "650-755-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SULLIVAN AVE",
"address_2": "STE 310",
"city": "DALY CITY",
"state": "CA",
"postal_code": "94015",
"telephone_number": "650-296-1906",
"fax_number": "650-755-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "TOMAS",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ONE",
"identifier": "3577370001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E39220",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000E39220",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.