Kristoffer Valencia, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

49332 Issued in CA

Practice address

1900 E Slauson Ave Ste B
Huntington Park, CA 90255-2725

Phone

(323) 277-7678

NPI assigned

Jun 8, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Altamed Health Services Corp

  • PACE Provider Organization
  • Huntington Park, CA
  • NPI 1942431374
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1952894669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 11TH ST APT 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152232",
            "telephone_number": "858-354-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E SLAUSON AVE STE B",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552725",
            "telephone_number": "323-277-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "KRISTOFFER",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "49332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima G Urquilla Soto, MSN FNP-C
• Marta Patricia Urrutia Ramirez
• Anna Urrutia, TECH
• Maria A. Valdovinos, CASE MANAGER
• Elaine Valencia
• Nicole Sonia Valencia
• Nathalie Valentin
• Steven Enrique Valle
• Valley Clinica Medica General Medical Center Inc
• Van Dinh Nguyen Medical Corp.

• Physical Therapy Assistant in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.