John Red Eagle Valenzuela, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0262550 Issued in CA

Practice address

1525 Cushman St
Suite F.
Hollister, CA 95023-5519

Phone

(831) 637-8099

Fax

(831) 637-8226

NPI assigned

Mar 19, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972627735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 CUSHMAN ST",
            "address_2": "SUITE F.",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235519",
            "telephone_number": "831-637-8099",
            "fax_number": "831-637-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 CUSHMAN ST",
            "address_2": "SUITE F.",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235519",
            "telephone_number": "831-637-8099",
            "fax_number": "831-637-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "JOHN",
        "middle_name": "RED EAGLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0262550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC026255",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanaz Molavi Underwood, FNP,MSN,PHD
• Sonia Urrutia
• Christopher Daniel Urzua I, B.A., R.A.S.
• Meenu Vaid, M.D.
• Francisco Valencia
• Solesita Pearl Van Boerum, R.N
• Tania Van de Wark, RN
• Tyrabia Vance
• Maria Luisa Vargas Torres, MD
• John Vasquez, OT

• Chiropractor in Hollister, CA
• Providers in Hollister, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.