SHELLEY ANDERSON VALDIVIA (NPI# 1720618093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720618093 |
| Entity Type | Individual |
| Full Name | SHELLEY ANDERSON VALDIVIA |
| Credential | SLP-A |
| Practice Address |
195 Glen Cove Marina Rd E Ste 201 Vallejo CA 94591-7291 |
| Mailing Address |
5628 Gold Poppy Way Elk Grove CA 95757-2823 |
| Practice Telephone | 7076519915 |
| Mailing Telephone | 9162613703 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
4430 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
195 GLEN COVE MARINA RD E STE 201 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94591-7291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356901 | Andrew Garcia | Behavior Technician | 150 Glen Gove Marina Rd., #102, Vallejo, CA 94591 | 2020-11-03 |
| 1396353504 | Marlesia Marvae Gonzales | Behavior Technician | 150 Glen Cove Marina Rd., #102, Vallejo, CA 94591 | 2020-07-14 |
| 1033741061 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 910 Admiral Callaghan Lane, Vallejo, CA 94591 | 2020-02-07 |
| 1639633860 | Angelo Duaso | Respiratory Therapist, Certified | 712 North Regatta Drive, Vallejo, CA 94591 | 2019-01-22 |
| 1467923615 | Maria Perez | Behavioral Analyst | 150 Glen Code Marina Rd #102, Vallejo, CA 94591 | 2018-12-16 |
| 1285119966 | Josie Gerber | Registered Nurse | 9268 Hallmark Place, Vallejo, CA 94591 | 2018-09-28 |
| 1912491911 | Lamigo LLC | Optometrist | 121 Plaza Dr Ste 505, Vallejo, CA 94591 | 2018-06-22 |
| 1942655055 | Brisbain Rigor Pucan | Dentist | 2143 Springs Rd, #51, Vallejo, CA 94591 | 2016-04-26 |
| 1811323066 | Bianca Tayne Payne | Counselor | 408 Tennesse St, Vallejo, CA 94591 | 2013-09-19 |
| 1285973602 | Kushwantjit Singh Randhawa | Dentist | 300 Hillary Way Apt 91, Vallejo, CA 94591 | 2013-02-05 |
| Find all providers in zip 94591 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337891 | Daniel Garcia | Specialist/Technologist | 195 Glen Cove Marina Rd E Ste 200, Vallejo, CA 94591-7291 | 2020-05-14 |
| 1245852292 | Gabriela Portan-ascencio | Specialist/Technologist | 195 Glen Cove Marina Rd E, Vallejo, CA 94591-7285 | 2020-05-13 |
| 1558842674 | Jasmine Manalo | Specialist/Technologist | 195 Glen Cove Marina Rd E Ste 200, Vallejo, CA 94591-7291 | 2018-08-27 |
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|---|---|---|---|---|
| 1205434552 | Onneka Taitano | Specialist/Technologist | 18743 Pioneer Blvd Ste 203, Artesia, CA 90701-5662 | 2020-10-09 |
| 1366058505 | Amanda Lauren Ramos Liberto Mcnamara | Specialist/Technologist | 7525 Metropolitan Drive, 308, San Diego, CA 92108-4412 | 2020-09-22 |
| 1851907679 | Samantha Gutierrez-curran | Specialist/Technologist | 12582 Naples Way, Rancho Cucamonga, CA 91739-2631 | 2020-09-17 |
| 1912513904 | Jenifer G Camargo | Specialist/Technologist | 11284 Mountain Ave, Riverside, CA 92505-2633 | 2020-09-16 |
| 1508471186 | Rachael Catherine Stankey | Specialist/Technologist | 7 Seton Ct, Rancho Mirage, CA 92270-3714 | 2020-09-10 |
| 1104431774 | Andrea Marie Gonzalez | Specialist/Technologist | 1202 Kingsdale Dr, Corona, CA 92878-7708 | 2020-09-10 |
| 1316551302 | Taylor Kami Hirata | Specialist/Technologist | 21515 Hawthorne Blvd Ste Gl-100, Torrance, CA 90503-6501 | 2020-09-07 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1205449576 | Blind Children's Learning Center | Specialist/Technologist | 18542 Vanderlip Ave, Santa Ana, CA 92705-8201 | 2020-08-26 |
| 1922618867 | Jennifer Chan | Specialist/Technologist | 1281 Calle Cecilia, San Dimas, CA 91773-4435 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.