Healthcare Provider Details

I. General information

NPI: 1467322404
Provider Name (Legal Business Name): SHARON A VALDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 HEATHER TER
APTOS CA
95003-3825
US

IV. Provider business mailing address

112 GHARKEY ST
SANTA CRUZ CA
95060-6102
US

V. Phone/Fax

Practice location:
  • Phone: 831-706-2977
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number3371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: