Mary C Valtierra

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

691 S El Prado Rd
Yuma, AZ 85364-2555

Phone

(928) 502-1411

NPI assigned

Jan 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ava Homecare

  • In Home Supportive Care Agency
  • Yuma, AZ
  • NPI 1033841788
  NPD Authorized official

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1942961636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 S EL PRADO RD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642555",
            "telephone_number": "928-502-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 S EL PRADO RD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642555",
            "telephone_number": "928-502-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALTIERRA",
        "first_name": "MARY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pequeypocho01@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "9285021411",
            "address_1": "691 S El Prado Rd",
            "city": "Yuma",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853642555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fabian Valenzuela
• Allison L Vallejo, PNP
• Loni A Vallejo, DDS
• Valley Speech LLC
• Valor Health and Wellness LLC
• Mark Van Antwerp, M.D.
• Allie Paige Van Dyn Hoven, RBT
• Kristie A Van Dyn Hoven, FNP-C
• Daniel Van Voorst, PT
• Ashley Van Why, PT, DPT

• All providers in Yuma, AZ
• Homemaker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.