Individual provider Active NPI

Viviene L Valdez, DDS

  • Pediatric Dentistry
  • Pleasant Hill, CA
National Provider Identifier
1932335320
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
59271 Issued in CA
Practice address
675 Contra Costa Blvd
Pleasant Hill, CA 94523-1514
Phone
(510) 689-5800
NPI assigned
May 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054107-1 NY
Pediatric Dentistry 1223P0221X 59271 CA Primary

Addresses

Primary practice location

675 Contra Costa Blvd
Pleasant Hill, CA 94523-1514

Mailing address

675 Contra Costa Blvd
Pleasant Hill, CA 94523-1514
Phone (510) 689-5800

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140311001144 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7618107764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054107-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
V Valdez DDS, Inc Pediatric Dentistry Current Accepting new patients

Locations

675 Contra Costa Blvd
Pleasant Hill, CA 94523
Phone (925) 231-4724

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": "1243728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1932335320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CONTRA COSTA BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231514",
            "telephone_number": "510-689-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CONTRA COSTA BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231514",
            "telephone_number": "510-689-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "VIVIENE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-31",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054107-1",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.