Individual provider Active NPI

Valerie Marie Vigil

  • Acute Care Nurse Practitioner
  • Buena Park, CA
National Provider Identifier
1821840638
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95029677 Issued in CA
Practice address
8672 Pierce Dr
Buena Park, CA 90620-3838
Phone
(714) 858-1409
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95029677 CA Primary

Addresses

Primary practice location

8672 Pierce Dr
Buena Park, CA 90620-3838

Mailing address

8672 Pierce Dr
Buena Park, CA 90620-3838
Phone (714) 858-1409

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802003734 CA Practitioner - Nurse Practitioner 7618414046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salem D O Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

200 Hospital Cir
Westminster, CA 92683
Phone (714) 386-9043

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.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1821840638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8672 PIERCE DR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203838",
            "telephone_number": "714-858-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8672 PIERCE DR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203838",
            "telephone_number": "714-858-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "VALERIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95029677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.