Individual provider Active NPI

Vanessa Lopez Valencia, PA-C

  • Physician Assistant
  • La Palma, CA
National Provider Identifier
1841096526
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5451 La Palma Ave Ste 25
La Palma, CA 90623-1730
Phone
(714) 670-1340
NPI assigned
Feb 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5451 La Palma Ave Ste 25
La Palma, CA 90623-1730

Mailing address

5451 La Palma Ave Ste 25
La Palma, CA 90623-1730
Phone (714) 670-1340

Other names 1

  • Vanessa Lopez Other name

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617002374 CA Practitioner - Physician Assistant 9638680564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1841096526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 25",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231730",
            "telephone_number": "714-670-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 25",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231730",
            "telephone_number": "714-670-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VALENCIA",
        "first_name": "VANESSA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "LOPEZ",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Palma, CA

Sources for this page

Verify at the official NPI Registry.