DR. WALTER VALDEVILLA LAUREL (NPI# 1588911960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588911960 |
| Entity Type | Individual |
| Full Name | DR. WALTER VALDEVILLA LAUREL |
| Credential | M.D. |
| Practice Address |
2760 S Elm Ave Fresno CA 93706-5435 |
| Mailing Address |
Po Box 1559 Bakersfield CA 93302-1559 |
| Practice Telephone | 5594575300 |
| Practice Fax Number | 5594575390 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 5594576990 |
| Enumeration Date | 2012-08-05 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A134336 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2760 S ELM AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-5435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912957010 | Ian Douglas Macagy | Obstetrics & Gynecology | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2006-05-11 |
| 1578046173 | Elizabeth A. Reinholt | Advanced Practice Midwife | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2018-09-10 |
| 1710369657 | Margaret Tharyna German De La Cruz | Pediatrics | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2015-06-27 |
| 1881024305 | Manita Kaur Nat | Obstetrics & Gynecology | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2013-11-19 |
| 1225391576 | Jolie S Ramesar | Pediatrics | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2012-06-21 |
| 1225307614 | Laura Beth Schleicher | Advanced Practice Midwife | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2011-12-14 |
| 1902135577 | Alma Bustamante Dayanghirang | Obstetrics & Gynecology | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2009-12-10 |
| 1245480821 | Clinca Sierra Vista | Clinic/Center | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2008-09-19 |
| 1669621447 | Clinica Sierra Vista | Clinic/Center | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2008-09-16 |
| 1508066671 | Kalila Deniece Banks | Physician Assistant | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2007-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609397405 | Devon Brooke Ward | Pediatrics | 4770 W Herndon Ave Ste 108, Fresno, CA 93722-8401 | 2017-06-30 |
| 1871024091 | Ali S Arastu | Pediatrics | Valley Children's Hospital, 9300 Valley Children's Place, Fresno, CA 93720 | 2017-03-21 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1811398712 | Cathy Xu Md | Pediatrics | 4646 N 1st St, Ste 102, Fresno, CA 93726-0973 | 2014-09-10 |
| 1073860680 | Gulafsha Chaudhary | Pediatrics | 7720 N Fresno St Ste 104, Fresno, CA 93720-2407 | 2012-08-14 |
| 1487919155 | Trenton Ross Hubbard | Pediatrics | 1125 E Spruce Ave Ste 101, Fresno, CA 93720-3387 | 2012-07-09 |
| 1356641013 | Janelle Fong | Pediatrics | 5088 N. Fresno St, Suite A, Fresno, CA 93710 | 2010-10-28 |
| 1194965806 | Lynda Margaret Dickerson Khouzam | Pediatrics | 1684 W Shaw Ave, Suite 101, Fresno, CA 93711-3517 | 2009-02-20 |
| 1396921482 | Valley Children's Medical Center, A.m.c. | Pediatrics | 4646 N 1st St Ste 102, Fresno, CA 93726-0973 | 2008-01-18 |
| 1982808846 | Nicole Tere Banh | Pediatrics | 7055 N Chestnut Ave Ste 106, Fresno, CA 93720-0350 | 2007-06-13 |
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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.