Onil Vallecillo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52807 Issued in CA

Practice address

1140 W la Veta Ave Ste 860
Orange, CA 92868-4218

Phone

(714) 835-6500

NPI assigned

Sep 11, 2015

Last updated

Sep 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment
• Spine and Sports Specialities Medical Group

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1013306174
  Medicare reassignment
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Los Angeles, CA
  • NPI 1134151657
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1912375577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 860",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684218",
            "telephone_number": "714-835-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 860",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684218",
            "telephone_number": "714-835-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLECILLO",
        "first_name": "ONIL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Wallace Valesky Jr., MD
• Valiant Diagnostics Inc
• Getsemani Valladares
• Reyna Elizabeth Valle Chicas
• Evan Jonathan Valle, M.D.
• Cinthya Vallejo-Chavez
• Adrian Ernesto Vallejo, MD
• Anthony Vallejo
• Guillermo Vallejo, CRNA
• Lorena Maria Vallejo

• Physician Assistant in Orange, CA
• Providers in Orange, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.