EVAN JONATHAN VALLE PC (NPI# 1245890706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245890706 |
| Entity Type | Organization |
| Organization Name | EVAN JONATHAN VALLE PC |
| Practice Address |
15031 Rinaldi St Mission Hills CA 91345-1207 |
| Mailing Address |
35 E Glenarm St Pasadena CA 91105-3418 |
| Practice Telephone | 8183658051 |
| Mailing Telephone | 6267684415 |
| Mailing Fax Number | 6264030321 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | EVAN JONATHAN VALLEY (PRESIDENT) |
| Authorized Official Telephone | 6502011026 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA MED LICENSE | A147393 | 01 |
| Street Address |
15031 RINALDI ST |
| City | MISSION HILLS |
| State | CA |
| Zip Code | 91345-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522585 | Shamel Sanani | Internal Medicine | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2005-07-18 |
| 1669089405 | Deepti Bhatnagar | Registered Nurse | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-09-25 |
| 1316552615 | Monet Andrea Quon | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-09-14 |
| 1952930166 | Nicholas Giovanni Cascelli | Specialist/Technologist | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-04-08 |
| 1730718602 | Monica Caro | Specialist/Technologist | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-04-03 |
| 1538791447 | Jennifer Cooney | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-02-08 |
| 1770124406 | Sondra Yvette Ortiz | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-10-03 |
| 1215582077 | Anna Gray | Registered Nurse | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-08-07 |
| 1073175873 | Lorraine Margaret Estronick | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-07-01 |
| 1508322751 | Elizabeth Mackenzie Lehmer | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141499 | Alpha Hospice | Hospice Care, Community Based | 15455 Devonshire St Suite 100a, Mission Hills, CA 91345 | 2020-10-12 |
| 1740725639 | Vivian Insua-lopez, Psy.d, Psychologist, Inc | Psychologist | 15455 San Fernando Misson Blvd., #308, Mission Hills, CA 91345 | 2016-12-30 |
| 1699162941 | Nancy M Kim Inc | Family Medicine | 11550 Indiana Hills Rd, 301, Mission Hills, CA 91345 | 2015-04-23 |
| 1881940088 | Prohealth-valley Occupational Medical Group | Clinic/Center | 10630 Sepulveda Blvd., Suite 100, Mission Hills, CA 91345 | 2012-07-25 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1679860084 | Mirna G Villatoro | Residential Treatment Facility, Physical Disabilities | 11100 Sepulveda Blvd, # 232, Mission Hills, CA 91345 | 2011-07-06 |
| 1093010944 | Ana Yvette Alvarez | Rehabilitation Practitioner | 11565 Laurel Canyon Blvd. Suite 116, Mission Hills, CA 91345 | 2011-01-24 |
| 1811226392 | Tender Home Health | Home Health | 10117 Sepulveda Blvd Ste 205a, Mission Hills, CA 91345 | 2009-12-14 |
| 1033387279 | Jamal Elias Khoury | Chiropractor | 15336 Devonshire St. Ste 3, Mission Hills, CA 91345 | 2008-02-11 |
| 1043497282 | Ana Elena Aldana | Counselor | 10200 Sepulveda Blvd., Unit 100, Mission Hills, CA 91345 | 2008-01-30 |
| Find all providers in zip 91345 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1699709048 | Bradley J Roth | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345-1203 | 2006-07-10 |
| 1316427040 | Evan Jonathan Valle LLC | Surgery | 11550 Indian Hills Rd Ste 310, Mission Hills, CA 91345-1203 | 2018-08-21 |
| 1659796035 | Valley Acute Care Surgeons Medical Group Inc | Surgery | 11550 Indian Hills Rd, Suite 310, Mission Hills, CA 91345-1200 | 2014-02-21 |
| 1124460506 | Boris H Borazjani, M.d., Inc | Surgery | 11550 Indian Hills Rd, Suite 310, Mission Hills, CA 91345-1200 | 2013-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1841553187 | Ning Lu | Surgery | 9898 Genesee Ave Fl 1, La Jolla, CA 92037-1205 | 2012-06-21 |
| 1467652859 | Trauma Vascular Surgeons Inc | Surgery | 12400 Ventura Blvd # 374, Studio City, CA 91604-2406 | 2007-07-23 |
| 1194819532 | North County Trauma Services, Inc. | Surgery | 451 March Avenue, Suite B, Healdsburg, CA 95448-3387 | 2006-10-02 |
| 1598863193 | Lawrence Roberts | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2006-09-20 |
| 1467563791 | North County Trauma Associates, Inc. A Medical Group | Surgery | 215 South Hickory Avenue, Suite 112, Escondido, CA 92025-4360 | 2006-08-31 |
| 1922116987 | Dinh Nhatton Nguyen | Surgery | 1800 Harrison St Fl 7, Oakland, CA 94612-3466 | 2006-08-29 |
| 1477564474 | Todd A Kanen | Surgery | 5333 Hollister Ave Ste 210, Santa Barbara, CA 93111-3331 | 2006-08-11 |
| 1710901590 | Leslie Ann Giesemann | Surgery | 317 N El Camino Real Ste 502, Encinitas, CA 92024-2816 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
| City | MISSION HILLS |
| Zip Code | 91345 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.