Individual provider Active NPI

Jorge Valadez

  • Psychologist
  • Fresno, CA
National Provider Identifier
1831884667
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSB94025369 Issued in CA
Practice address
3475 W Shaw Ave Ste 101
Fresno, CA 93711-3200
Phone
(559) 271-1186
Fax
(559) 271-8041
NPI assigned
Apr 7, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSB94025369 CA Primary

Addresses

Primary practice location

3475 W Shaw Ave Ste 101
Fresno, CA 93711-3200

Mailing address

3088 W Ashlan Ave Apt 134
Fresno, CA 93722-4510
Phone (559) 290-6750

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316003380 CA Practitioner - Clinical Psychologist 5496238685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3475 W Shaw Ave
Suite 101
Fresno, CA 93711-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSB94025369CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Toribio Psychological Services, Professional Corporation CurrentSince Jan 1, 2026 Accepting new patients

Locations

3475 W Shaw Ave
Ste 101
Fresno, CA 93711
Phone (559) 271-1186

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": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1831884667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 W ASHLAN AVE APT 134",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224510",
            "telephone_number": "559-290-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 W SHAW AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113200",
            "telephone_number": "559-271-1186",
            "fax_number": "559-271-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALADEZ",
        "first_name": "JORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94025369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.