Healthcare Provider Details

I. General information

NPI: 1407276223
Provider Name (Legal Business Name): ERIK S VALENTI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2014
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16060 IDAHO CENTER BLVD
NAMPA ID
83687-5010
US

IV. Provider business mailing address

16060 IDAHO CENTER BLVD
NAMPA ID
83687-5010
US

V. Phone/Fax

Practice location:
  • Phone: 208-278-6338
  • Fax: 844-689-3220
Mailing address:
  • Phone: 208-278-6338
  • Fax: 844-689-3220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD193117
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberM-15716
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberM-15716
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: