MEDICARE: ERNESTO A VALDEZ JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1578421814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNESTO A VALDEZ JR.

Provider Business Mailing Address
First Line	:	950 W D ST
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-3026
Country	:	US
Telephone Number	:	909-459-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	4725 SAN JOSE ST
Second Line	:
City	:	MONTCLAIR
State	:	CA
Zip	:	91763-1747
Country	:	US
Telephone Number	:	909-459-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ ERNESTO A VALDEZ JR. ” Practice Location

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