MILDRED ELIZABETH ANDREWS VALLANCE (NPI# 1750386033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750386033 |
| Entity Type | Individual |
| Full Name | MILDRED ELIZABETH ANDREWS VALLANCE |
| Credential | MD |
| Practice Address |
558 N. Ventu Park Rd., Ste D Thousand Oaks CA 91320 |
| Mailing Address |
558 N Ventu Park Rd Ste D Thousand Oaks CA 91320-2755 |
| Practice Telephone | 8054995525 |
| Practice Fax Number | 8054995554 |
| Mailing Telephone | 8054995525 |
| Mailing Fax Number | 8054995554 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101233059 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006736904 | 05 |
| Street Address |
558 N. VENTU PARK RD., STE D |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691452 | Velvet Hearts Professional Home Care Agency LLC | Chore Provider | 409 Calle Veracruz, Newbury Park, CA 91320 | 2019-04-05 |
| 1235603325 | Jefix LLC | Durable Medical Equipment & Medical Supplies | 1351 Alessandor Drive, Newberry Park, CA 91320 | 2019-01-11 |
| 1972074987 | Ayreen Sonbol | Non-emergency Medical Transport (VAN) | 79 N Madrid Ave, Newbury Park, CA 91320 | 2018-12-17 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1750874996 | Lady Mary Lhaine Escoto Sagun | Registered Nurse | 1550 Pachino Circle Apt G, Thousand Oaks, CA 91320 | 2018-06-12 |
| 1528410784 | Cristina Rose Markiewicz | Dentist | 400 S. Reino Road, Suite 100, Newbury Park, CA 91320 | 2016-07-12 |
| 1639559552 | Joshua Tree Healthcare, Inc. | Home Health | 2545 W Hillcrest Dr Ste 130a, Thousand Oaks, CA 91320 | 2015-06-05 |
| 1841679651 | Vesper Healthcare, Inc. | Hospice Care, Community Based | 2545 W Hillcrest Dr Ste 130, Thousand Oaks, CA 91320 | 2015-05-26 |
| 1376952580 | Lori Diamond | Pharmacist | 512 Ventu Park Rd, Thousand Oaks, CA 91320 | 2014-08-13 |
| 1275942807 | J J Abbott Dds, PC | Dentist | 501-i S. Reino Rd #214, Newbury Park, CA 91320 | 2014-08-07 |
| Find all providers in zip 91320 | ||||
| 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 |
|---|---|---|---|---|
| 1750517272 | Bina Gunvant Patel | Pediatrics | 3288 Casino Dr, Thousand Oaks, CA 91362-4802 | 2009-06-10 |
| 1427179969 | Kenneth L Saul Md, Inc. | Pediatrics | 425 Haaland Drive, #104, Thousand Oaks, CA 91361-3003 | 2007-04-03 |
| 1871564443 | Nathalie Rubin | Pediatrics | 558 N Ventu Park Rd Ste D, Thousand Oaks, CA 91320-2755 | 2006-01-31 |
| 1619948445 | Russell Spadaro | Pediatrics | 430 Avenida De Los Arboles, #201, Thousand Oaks, CA 91360-3003 | 2006-01-30 |
| 1013919208 | Los Robles Pediatric Medical Group, Inc. | Pediatrics | 299 W Hillcrest Dr, Ste 100, Thousand Oaks, CA 91360-7820 | 2005-06-01 |
| 1770747305 | Mizin Park Kawasaki | Pediatrics | 425 Haaland Dr, Suite 104, Thousand Oaks, CA 91361-5229 | 2008-07-13 |
| 1063568814 | Lawrence Spinner M.d. A Medical Corporation | Pediatrics | 2220 Lynn Rd, 109, Thousand Oaks, CA 91360-1904 | 2007-01-26 |
| 1144377441 | Arlene Alikian | Pediatrics | 2125 E Thousand Oaks Blvd, Suite B-2, Thousand Oaks, CA 91362-2942 | 2007-01-05 |
| 1528134483 | Lisa Lee Mathis | Pediatrics | 1 Amgen Center Dr, Pediatric Clinic, Thousand Oaks, CA 91320-1730 | 2006-11-24 |
| 1508838749 | Betsy Weisz | Pediatrics | 430 Avenida De Los Arboles, #201, Thousand Oaks, CA 91360-3003 | 2006-02-02 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91320 |
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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.