Malinda Marian Valenzuela

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

643704 Issued in CA

Practice address

126 Avocado Ave Ste 106
Perris, CA 92571-2605

Phone

(951) 943-7212

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Albany Medical College of Union University, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citrus Medical Clinic Professional CorpGroup PAC ID 5799121075, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Citrus Medical Clinic Professional Corp

  • Primary Care Clinic/Center
  • Fountain Valley, CA
  • NPI 1013605187
  Medicare reassignment Care Compare group NPD
• Reuben C Castillo, Professional Corporation

  • General Practice Physician
  • Perris, CA
  • NPI 1942429188
  NPD

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1831717735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9865",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923753065",
            "telephone_number": "909-653-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 AVOCADO AVE STE 106",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712605",
            "telephone_number": "951-943-7212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10900 Warner Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927083846",
            "country_code": "US",
            "telephone_number": "714-369-2554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "MALINDA",
        "middle_name": "MARIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015189",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "643704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396108403",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "avocadomedicalclinicproff@gmail.com",
            "affiliation": "N",
            "endpointDescription": "clinic email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "126 Avocado Ave Ste 106",
            "city": "Perris",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925712605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "avocadomedicalclinicproff@gmail.com",
            "affiliation": "N",
            "address_1": "126 Avocado Ave Ste 106",
            "city": "Perris",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925712605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ramon Gilbert Urrutia
• Val Verde Unified School District
• Bianca Avalon Valdez
• Passion Deante Lapel Valdivia
• Jessica N/a Valencia, LVN
• Crystal Valerio-Sandoval, LMFT
• Jordan Alexandra Valle, FNP-BC
• Ashley Vennezya Vallejo
• Gabriela Vallejo
• Gabriel Vallin, M.S.

• Registered Nurse in Perris, CA
• Providers in Perris, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.