Healthcare Provider Details

I. General information

NPI: 1730716572
Provider Name (Legal Business Name): VALERIE FELICE CIVELLI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7702 MEANY AVE STE 101
BAKERSFIELD CA
93308-5199
US

IV. Provider business mailing address

PO BOX 9549
BAKERSFIELD CA
93389-9549
US

V. Phone/Fax

Practice location:
  • Phone: 661-843-7830
  • Fax: 661-843-7831
Mailing address:
  • Phone: 661-327-4712
  • Fax: 661-829-7995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA183223
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: