MEDICARE: DR. JENNY VALENCIA ROOT ND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	ND1497	CA

General Provider Information

NPI Number	:	1194572453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNY VALENCIA ROOT ND

Provider Business Mailing Address
First Line	:	200 GREGORY LN STE C-203
Second Line	:
City	:	PLEASANT HILL
State	:	CA
Zip	:	94523-3353
Country	:	US
Telephone Number	:	925-722-7334
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 GREGORY LN STE C-203
Second Line	:
City	:	PLEASANT HILL
State	:	CA
Zip	:	94523-3353
Country	:	US
Telephone Number	:	925-722-7334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2024
Last Update Date	:	08/03/2025

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