1285772103 NPI number — MRS. VALERIE CHRISTIANE PADRA NAJERA MFT

Table of content: MRS. VALERIE CHRISTIANE PADRA NAJERA MFT (NPI 1285772103)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285772103 NPI number — MRS. VALERIE CHRISTIANE PADRA NAJERA MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PADRA NAJERA
Provider First Name:
VALERIE
Provider Middle Name:
CHRISTIANE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PORTER
Provider Other First Name:
VALERIE
Provider Other Middle Name:
CHRISTIANE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MFT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285772103
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/02/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1477 FRANCESCHI DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHULA VISTA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91913-2651
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-251-0639
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
124 E 30TH ST
Provider Second Line Business Practice Location Address:
SUITE A1
Provider Business Practice Location Address City Name:
NATIONAL CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91950-7332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-327-0315
Provider Business Practice Location Address Fax Number:
619-327-0316
Provider Enumeration Date:
02/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  48488 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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