ANTONIA MARIA VALLEJO MD
NPI 1992644884
Student in an Organized Health Care Education/Training Program in Modesto, CA

Q: What is Antonia Vallejo's NPI number?

The NPI number for Antonia Vallejo is 1992644884. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Q: What is Antonia Vallejo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Antonia Vallejo was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 26, 2026PECOS Enrolled

1700 COFFEE RD, MODESTO, CA 95355(209) 569-7493 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Antonia Maria Vallejo Md NPPES

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

ANTONIA MARIA VALLEJO MD (NPI 1992644884) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992644884

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameANTONIA MARIA VALLEJOCredential: MD

Location Address1700 COFFEE RDModesto, CA 95355-2803

Mailing Address1700 Coffee RdModesto, CA 95355-2803

Phone(209) 569-7493

Sole ProprietorYes

Enumeration DateMarch 26, 2026

NPPES CertifiedMarch 26, 2026

✔ NPI 1992644884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1700 COFFEE RD, Modesto, CA 95355

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonia Maria Vallejo Md 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.

ERIC CHAU-YONG KU MD

Radiology (Radiation Oncology)