DR. SHARIECE MARIE VALLEJO D.O.
NPI 1376733881
Student in an Organized Health Care Education/Training Program in Harbor City, CA

Active since July 31, 2007PECOS EnrolledAccepts Medicare Assignment
1403 LOMITA BLVD, SUITE 102, HARBOR CITY, CA 90710(310) 534-6221 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shariece Marie Vallejo D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHARIECE MARIE VALLEJO D.O. (NPI 1376733881) is an individual student in an organized health care education/training program in Harbor City, California and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2007).

NPPES Registry Identity

NPI1376733881
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SHARIECE MARIE VALLEJOCredential: D.O.
Location Address1403 LOMITA BLVD, SUITE 102Harbor City, CA 90710-2076
Mailing Address1403 Lomita Blvd Ste 102, Harbor-ucla Family Health CenterHarbor City, CA 90710-2084 · (310) 534-6221
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2007
Enumeration DateJuly 31, 2007
Last NPPES UpdateDecember 1, 2021
✔ NPI 1376733881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1403 LOMITA BLVD, Harbor City, CA 90710

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shariece Marie Vallejo D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486847753
PECOS Enrollment IDI20101019000776
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shariece Vallejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
1403 LOMITA BLVD
HARBOR CITY, CA 90710
Specialist
1403 LOMITA BLVD, SUITE 107
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD, SUITE 100
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD, SUITE 200
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD, SECOND FLOOR
HARBOR CITY, CA 90710
Student in an Organized Health Care Education/Training Program
1403 LOMITA BLVD, SUITE102
HARBOR CITY, CA 90710
Clinic/Center
1403 LOMITA BLVD, SUITE 102, ROOMS 1-26 & CONFERENCE ROOM
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD, SUITE 200
HARBOR CITY, CA 90710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shariece Vallejo's NPI number?

The NPI number for Shariece Vallejo is 1376733881. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Shariece Vallejo located?

Shariece Vallejo practices at 1403 Lomita Blvd Suite 102, Harbor City, CA 90710. The listed phone number is (310) 534-6221.

What is Shariece Vallejo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shariece Vallejo enrolled in Medicare?

Yes. Shariece Vallejo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shariece Vallejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shariece Vallejo reassigns Medicare benefits to Southern California Permanente Medical Group (Harbor City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shariece Vallejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shariece Vallejo was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.