Healthcare Provider Details

I. General information

NPI: 1467084590
Provider Name (Legal Business Name): VALERIEANNE NAVALTA DELACRUZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date: 01/16/2024
Reactivation Date: 01/23/2024

III. Provider practice location address

1075 BETTERAVIA RD., SUITE 201
SANTA MARIA CA
93454
US

IV. Provider business mailing address

1384 W BURGUNDY CT
HANFORD CA
93230-8178
US

V. Phone/Fax

Practice location:
  • Phone: 805-621-7714
  • Fax:
Mailing address:
  • Phone: 559-440-1546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: