Provider Type Icon

CARLOS VALENZUELA NPI 1508876442


NPI Information

NPI: 1508876442
Provider Name: CARLOS VALENZUELA

Other Name: SOLE PROPRIETOR

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
4224 OHIO ST
SAN DIEGO, CA
ZIP 92104
Phone: (619) 280-9174
Get Directions

CARLOS VALENZUELA is a prosthetic orthotic supplier in San Diego, CA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. CARLOS VALENZUELA NPI is 1508876442. The provider is registered as an organization entity type.
The provider Other Name Is Sole Proprietor.

The provider's business location address is:

4224 OHIO ST
SAN DIEGO, CA
ZIP 92104-320
Phone: (619) 280-9174
Fax: (619) 280-9286

The provider's authorized official is Carlos Valenzuela .
The authorized official title is Certified Orthotist Owner and has the following contact phone number (619) 280-9174.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 9/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GC000680MEDICAIDCALIFORNIA
20183480001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.