Maria Guadalupe Valdivia Fuller

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

10801 6TH St
Rancho Cucamonga, CA 91730-5977

Phone

(909) 819-8761

NPI assigned

Oct 23, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Iehp Health Access

  • Case Manager/Care Coordinator
  • Rancho Cucamonga, CA
  • NPI 1487412318
  NPD
• Inland Empire Health Plan

  • Health Maintenance Organization
  • Rancho Cucamonga, CA
  • NPI 1225139546
  NPD (past)

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1821860974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 W HILL DR # D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072967",
            "telephone_number": "213-318-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 6TH ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305977",
            "telephone_number": "909-819-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIA FULLER",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "IEHP",
            "affiliation": "N",
            "endpointDescription": "Health Insurance",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1139 W Hill Dr # D",
            "city": "San Bernardino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "924072967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dorian Valdez, FNP
• Esmeralda Valdez
• Gia Valdez
• Melissa Emily Valdez
• Natalie Valdez
• Carolina Valdivia
• Zharinna Valdivia
• Kyline Valencerina
• Ariana Valencia
• Estephania Valencia

• Community Health Worker in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.