Keishla Janice Degro Valladares, MD, FAAP in Santa Clarita, CA

Keishla Janice Degro Valladares, MD, FAAP is a medicare enrolled "Pediatrics" physician in Santa Clarita, California. Her current practice location is 18533 Soledad Canyon Rd, Santa Clarita, California. You can reach out to her office (for appointments etc.) via phone at (616) 738-8006.

Keishla Janice Degro Valladares is licensed to practice in Puerto Rico (license number 21334) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659728798.

Contact Information

	Keishla Janice Degro Valladares, MD, FAAP
	18533 Soledad Canyon Rd, Santa Clarita, CA 91351-3722
	(616) 738-8006
	Not Available

Map and Direction

Physician's Profile

Full Name	Keishla Janice Degro Valladares
Gender	Female
Speciality	Pediatrics
Location	18533 Soledad Canyon Rd, Santa Clarita, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659728798
Provider Enumeration Date: 05/18/2016
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2668869348
Enrollment ID: I20220427001825

Medical Identifiers

Medical identifiers for Keishla Janice Degro Valladares such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659728798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	21334 (Puerto Rico)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keishla Janice Degro Valladares allows following entities to bill medicare on her behalf.

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keishla Janice Degro Valladares is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keishla Janice Degro Valladares, MD, FAAP 18533 Soledad Canyon Rd, Santa Clarita, CA 91351-3722 Ph: (661) 673-8800	Keishla Janice Degro Valladares, MD, FAAP 18533 Soledad Canyon Rd, Santa Clarita, CA 91351-3722 Ph: (616) 738-8006

Reviews and Comments

Pediatrics Doctors in Santa Clarita, CA

Dr. Paula Ann Kuhlman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23413 Lyons Ave, Santa Clarita, CA 91355 Phone: 661-593-7500 Fax: 661-593-7501
Christina Diane Casas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24811 Railroad Ave Ste E, Santa Clarita, CA 91321 Phone: 661-200-3139 Fax: 267-361-1600
Thomas James Connolly, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27924 Seco Canyon Rd, Santa Clarita, CA 91350 Phone: 661-513-2100 Fax: 661-513-2156
Ruth Sepanian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 27924 Seco Canyon Rd, Santa Clarita, CA 91350 Phone: 661-513-2100
Dr. Houshang Farhadian, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 25425 Orchard Village Rd, Santa Clarita, CA 91355 Phone: --
Priyanka Fernandes, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 27235 Tourney Rd Ste 2500, Santa Clarita, CA 91355 Phone: 661-253-5851 Fax: 661-253-5852
Thinh The Do, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 27924 Seco Canyon Rd, Santa Clarita, CA 91350 Phone: 661-513-2100 Fax: 661-513-2156

Keishla Janice Degro Valladares, MD, FAAP - Medicare Pediatrics in Santa Clarita, CA