Organization Active NPI

Valdivia Inc

  • Community/Behavioral Health Agency
  • Santa Ana, CA
National Provider Identifier
1831469568
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY10220 Issued in CA
Legal business name
VALDIVIA INC
Practice address
540 N Golden Circle Dr
Suite 203
Santa Ana, CA 92705-3914
Phone
(714) 480-1111
Fax
(714) 480-1112
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Lino Valdivia, PSY.D
Title
President
Phone
(714) 480-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY10220 CA Primary

Addresses

Primary practice location

540 N Golden Circle Dr
Suite 203
Santa Ana, CA 92705-3914

Mailing address

540 N Golden Circle Dr
Suite 203
Santa Ana, CA 92705-3914
Phone (714) 480-1111

National Provider Directory

National Provider Directory

Locations

540 N Golden Circle Dr
Ste 203
Santa Ana, CA 92705
Phone (714) 480-1111

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1831469568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N GOLDEN CIRCLE DR",
            "address_2": "SUITE 203",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053914",
            "telephone_number": "714-480-1111",
            "fax_number": "714-480-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N GOLDEN CIRCLE DR",
            "address_2": "SUITE 203",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053914",
            "telephone_number": "714-480-1111",
            "fax_number": "714-480-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDIVIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "VALDIVIA",
        "authorized_official_first_name": "LINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-480-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY10220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.