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JACQUELINE VALDOVINOS
NPI 1689185985
Marriage & Family Therapist in Gardena, CA

Active since October 13, 2017PECOS EnrolledAccepts Medicare Assignment
108 W VICTORIA ST, GARDENA, CA 90248(310) 715-2020 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Dec 5, 2024, Oct 13, 2017 (3 updates tracked since 2017).

About Jacqueline Valdovinos NPPES

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

JACQUELINE VALDOVINOS (NPI 1689185985) is an individual marriage & family therapist in Gardena, California, licensed in California (130869) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gardena, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689185985
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACQUELINE VALDOVINOS
Location Address108 W VICTORIA STGardena, CA 90248-3523
Mailing Address1256 W 120th StLos Angeles, CA 90044-1124 · (323) 898-2026
Phone(310) 715-2020
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 13, 2017
Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1689185985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 130869
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License IMF101649 (CA)
108 W VICTORIA ST, Gardena, CA 90248
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Secondary Practice Location 1

Location 115120 Atkinson Ave Ste 7AGardena, CA 90249-4037 · Phone (323) 776-6164

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Valdovinos 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 ID2567955156
PECOS Enrollment IDI20251202003474
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.

GERARDO GOMEZ
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
VANESSA AVILA
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
JUSTIN A PARNELL
Occupational Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
AMBER KAI PARKER RBT
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
ELISA ANGELINE WRIGHT ADAMS
Student in an Organized Health Care Education/Training Program
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MR. JOSE D, FERNANDEZ
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MRS. IVA SVETLIKOVA M.S. MFT
Marriage & Family Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MRS. SAYO MATSUDA
Marriage & Family Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (424) 757-4226

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 Jacqueline Valdovinos's NPI number?

The NPI number for Jacqueline Valdovinos is 1689185985. It was assigned to this individual provider in the NPPES registry on October 13, 2017.

Where is Jacqueline Valdovinos located?

Jacqueline Valdovinos practices at 108 W Victoria St, Gardena, CA 90248. The listed phone number is (310) 715-2020.

What is Jacqueline Valdovinos's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacqueline Valdovinos enrolled in Medicare?

Yes. Jacqueline Valdovinos 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Valdovinos was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.