Active NPI
Javier Valero Fonseca, M.D.
- Neurology Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- C153203
- Practice address
- 1524 McHenry Ave Ste 570
Modesto, CA 95350-4574 - Phone
- (209) 572-3880
- Fax
- (209) 572-3349
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C153203 | CA | |
| Pediatrics Physician | 208000000X | 45505 | TN | |
| Neurology Physician | 2084N0400X | 45505 | TN | |
| Neurology Physician | 2084N0400X | C153203 | CA | Primary |
Addresses
Primary practice location
1524 McHenry Ave Ste 570
Modesto, CA 95350-4574
Mailing address
1524 McHenry Ave Ste 570
Modesto, CA 95350-4574
Phone (209) 572-3880
Other names 1
- Javier Valero
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1524 McHenry Ave
Modesto, CA 95350-4500
Phone (209) 572-3880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45505 | TN | MD | Pediatrics Physician |
| C153203 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Children'S Medical Group | Pediatrics | Current | Accepting new patients |
| Murfreesboro Medical Clinic, P.a. | Current | Accepting new patients | |
| Pediatrix Medical Group of Tennessee, P.C. | Pediatrics | Past | Accepting new patients |
| Saint Thomas Rutherford Hospital | Past | Accepting new patients |
Locations
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
1190 Olivewood Dr
Ste A
Merced, CA 95348
1524 McHenry Ave
Ste 570
Modesto, CA 95350
Phone (209) 572-3880
1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880
1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925
Interoperability endpoints
- jvalerofonseca15885@valleychildrens-prd.direct-ci.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
-
- Specialist
- Murfreesboro, TN
- NPI 1639299803
-
- Neonatal-Perinatal Medicine Physician
- Nashville, TN
- NPI 1497852107
Pediatrics
-
- General Acute Care Hospital
- Murfreesboro, TN
- NPI 1164590386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1972642239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 MCHENRY AVE STE 570",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504574",
"telephone_number": "209-572-3880",
"fax_number": "209-572-3349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 MCHENRY AVE STE 570",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504574",
"telephone_number": "209-572-3880",
"fax_number": "209-572-3349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALERO FONSECA",
"first_name": "JAVIER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C153203",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "45505",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "45505",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "C153203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAVIER",
"last_name": "VALERO",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.