Healthcare Provider Details

I. General information

NPI: 1417866997
Provider Name (Legal Business Name): MR. FRANK BERNIE VALDEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 NORTH SANTE FE AVE
VISALIA CA
93292
US

IV. Provider business mailing address

500 NORTH SANTE FE AVE
VISALIA CA
93292
US

V. Phone/Fax

Practice location:
  • Phone: 559-684-8703
  • Fax: 559-685-5959
Mailing address:
  • Phone: 559-684-8703
  • Fax: 559-685-5959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number217254
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: