MR. TRAVIS MCLAIN VALDERRAMA RMA CCHT-A NPI 1629456082

NPI Information

NPI: 1629456082
Provider Name: MR. TRAVIS MCLAIN VALDERRAMA, RMA, CCHT-A
Classification: Technician, Other - 2472R0900X
Entity Type: Individual

Specialization: Renal Dialysis

Address:
1460 E VICTORY DR
SAVANNAH, GA
ZIP 31404
Phone: (912) 412-0707
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MR. Travis Mclain Valderrama, RMA, CCHT-A is a renal dialysis technician other in Savannah, GA. MR. Travis Mclain Valderrama, RMA, CCHT-A NPI is 1629456082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1460 E VICTORY DR
SAVANNAH, GA
ZIP 31404-108
Phone: (912) 412-0707

The enumeration date for this NPI number is 5/18/2015 and was last updated on 12/23/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2472R0900X	Technician, Other	Renal Dialysis	00022495	CALIFORNIA	No
2	2472R0900X	Technician, Other	Renal Dialysis		GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CHT 00022495	OTHER	CALIFORNIA	CA DEPARTMENT OF PUBLIC HEALTH
2	06673	OTHER	OREGON	OREGON HEALTH AUTHORITY CHT
3	HT60672991	OTHER	WASHINGTON	WA STATE DEPARTMENT OF HEALTH MAHT
4	041388	OTHER	NEW MEXICO	CERTIFIED HEMODIALYSIS TECHNICIAN

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

NPI Synchronization or Removal

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