MICHAEL M VALENZUELA DO
NPI 1407505258
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 21, 2022PECOS Enrolled
4190 CITY AVE, PHILADELPHIA, PA 19131(770) 856-0322 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael M Valenzuela Do NPPES

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

MICHAEL M VALENZUELA DO (NPI 1407505258) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407505258
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL M VALENZUELACredential: DO
Location Address4190 CITY AVEPhiladelphia, PA 19131-1626
Mailing Address4190 City AvePhiladelphia, PA 19131-1626
Sole ProprietorNo
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1407505258 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.
4190 CITY AVE, Philadelphia, PA 19131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael M Valenzuela Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Neuromusculoskeletal Medicine & OMM
4190 CITY AVE
PHILADELPHIA, PA 19131
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Orthopaedic Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Otolaryngology
4190 CITY AVE, SUITE 526
PHILADELPHIA, PA 19131
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131

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 Michael Valenzuela's NPI number?

The NPI number for Michael Valenzuela is 1407505258. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Michael Valenzuela located?

Michael Valenzuela practices at 4190 City Ave, Philadelphia, PA 19131. The listed phone number is (770) 856-0322.

What is Michael Valenzuela's specialty?

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

Is Michael Valenzuela enrolled in Medicare?

Yes. Michael Valenzuela is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Valenzuela was last updated on March 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.