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NPI Code Detail

MEDICARE: DR. THOMAS ANDREW VALDEZ M.D.

MEDICARE: DR. THOMAS ANDREW VALDEZ M.D.
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
1207Q00000XFamily Medicine PhysicianA105897CA

General Provider Information

NPI Number : 1740433093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ANDREW VALDEZ M.D.
Provider Business Mailing Address
First Line : 9394 BIG HORN BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-7977
Country : US
Telephone Number : 916-691-8500
Fax Number : 916-691-8585
Provider Business Practice Location Address
First Line : 9394 BIG HORN BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-7977
Country : US
Telephone Number : 916-691-8500
Fax Number : 916-691-8585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2008
Last Update Date : 02/27/2012

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