Active NPI
Maria T. Valmidiano-Wilson, CRNA, MSN
- Certified Registered Nurse Anesthetist
- Cerritos, CA
National Provider Identifier
1952483133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 000000NA2417
- Practice address
- 11845 South St
Cerritos, CA 90703-6825 - Phone
- (562) 809-8082
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 445909 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 000000NA2417 | CA | Primary |
Addresses
Primary practice location
11845 South St
Cerritos, CA 90703-6825
Mailing address
210 N Tustin Ave
Anesthesiology
Santa Ana, CA 92705-3807
Phone (714) 347-1010
Other names 1
- Maria Teresa Rodriguez Valmidiano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000NA2417 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1952483133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"address_2": "ANESTHESIOLOGY",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "714-347-1010",
"fax_number": "714-647-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11845 SOUTH ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036825",
"telephone_number": "562-809-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALMIDIANO-WILSON",
"first_name": "MARIA",
"middle_name": "T.",
"credential": "CRNA, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "445909",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "000000NA2417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "VALMIDIANO",
"middle_name": "TERESA RODRIGUEZ",
"credential": "RN, BSN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.