| Alyssia Ann Valdivia, | |
|
2495 W March Ln, Stockton, CA 95207-8251 | |
| (209) 465-1080 | |
| Not Available |
| Full Name | Alyssia Ann Valdivia |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2495 W March Ln, Stockton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790852440 | NPI | - | NPPES |
| 41498 | Other | CA | SANTA CLARA COUNTY ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 61383 (California) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssia Ann Valdivia, 2495 W March Ln, Stockton, CA 95207-8251 Ph: (209) 465-1080 | Alyssia Ann Valdivia, 2495 W March Ln, Stockton, CA 95207-8251 Ph: (209) 465-1080 |
Mrs. Cynthia Denise Aguilera, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6707 Embarcadero Dr, Stockton, CA 95219 Phone: 209-956-4240 |
Katherine Bailey, MA, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6707 Embarcadero Dr, Stockton, CA 95219 Phone: 209-956-4240 |
Mrs. Taylere Louise Looney, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 540 N California St, Stockton, CA 95202 Phone: 209-464-4524 |
Mr. Wayne A. Uecker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8834 |
Cynthia Fullwood-fleck, MFT, PCC Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8750 |
Davetta Jackson-young, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8863 Santa Maria Way, Stockton, CA 95210 Phone: 678-704-5213 |
Mr. Adam William Diestler, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1414 N California St, Stockton, CA 95202 Phone: 209-468-2385 |