Johnny Valera Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121625 Issued in CA

Practice address

11015 Bloomfield Ave
Santa Fe Springs, CA 90670-4601

Phone

(562) 906-2676

NPI assigned

Sep 6, 2019

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Quality Psychiatric Health and Wellness Apcmc

  • Psychiatric/Mental Health Nurse Practitioner
  • Valencia, CA
  • NPI 1790369437
  Medicare reassignment

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1821647405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13963 DUNTON DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052612",
            "telephone_number": "562-298-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 BLOOMFIELD AVE",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704601",
            "telephone_number": "562-906-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERA",
        "first_name": "JOHNNY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Valencia Ruiz, LCSW,138202
• Gabriela Becerra Valencia
• Maria Linda Valencia, LMFT
• Frances Valenzuela
• Michael Valenzuela
• Laura Maria Valle Chicas
• Lisa Valle, M.A.
• Tania Valtierra, M.S., LMFT
• Peter Vandenburgh
• Erica Anne Vandiepen

• Clinical Social Worker in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.