Active NPI
Adrian Valadez
- Clinical Social Worker
- Tracy, CA
National Provider Identifier
1992550479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112037
- Practice address
- 3580 W Grant Line Rd Unit 1111
Tracy, CA 95304-9631 - Phone
- (510) 512-0342
- NPI assigned
- Apr 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 112037 | CA | Primary |
Addresses
Primary practice location
3580 W Grant Line Rd Unit 1111
Tracy, CA 95304-9631
Mailing address
3580 W Grant Line Rd Unit 1111
Tracy, CA 95304-9631
Phone (510) 512-0342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112037 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1992550479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 W GRANT LINE RD UNIT 1111",
"city": "TRACY",
"state": "CA",
"postal_code": "953049631",
"telephone_number": "510-512-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 W GRANT LINE RD UNIT 1111",
"city": "TRACY",
"state": "CA",
"postal_code": "953049631",
"telephone_number": "510-512-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALADEZ",
"first_name": "ADRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-18",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "112037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.