MEDICARE: DR. VALERIE CHRISTINE SHEPPARD 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
1	208000000X	Pediatrics Physician	20A19556	CA

General Provider Information

NPI Number	:	1750524237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALERIE CHRISTINE SHEPPARD M.D.

Provider Business Mailing Address
First Line	:	1401 AVOCADO AVE STE 802
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7784
Country	:	US
Telephone Number	:	949-644-0970
Fax Number	:	949-644-0774

Provider Business Practice Location Address
First Line	:	1640 NEWPORT BLVD STE 210
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-3786
Country	:	US
Telephone Number	:	949-642-7332
Fax Number	:	949-642-7335

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

Provider Enumeration Date	:	04/13/2009
Last Update Date	:	12/23/2025

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