Active NPI
Diego Garcia Valenzuela Jr., MD
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1831292382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01030192A
- Practice address
- 4500 South Lancaster Road
Dallas VA Medical Center
Dallas, TX 75216 - Phone
- (214) 742-8387
- Fax
- (214) 302-1407
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01030192A | IN | Primary |
Addresses
Primary practice location
4500 South Lancaster Road
Dallas VA Medical Center
Dallas, TX 75216
Mailing address
1408 Sagewood Drive
Desoto, TX 75115-7712
Phone (214) 857-0496
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01030192A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296086400000",
"number": "1831292382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 SAGEWOOD DRIVE",
"city": "DESOTO",
"state": "TX",
"postal_code": "751157712",
"telephone_number": "214-857-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SOUTH LANCASTER ROAD",
"address_2": "DALLAS VA MEDICAL CENTER",
"city": "DALLAS",
"state": "TX",
"postal_code": "75216",
"telephone_number": "214-742-8387",
"fax_number": "214-302-1407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZUELA",
"first_name": "DIEGO",
"middle_name": "GARCIA",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2011-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01030192A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.