Provider Demographics
NPI:1497055198
Name:DEL VALLE, ALMA ROCIO (PA)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:ROCIO
Last Name:DEL VALLE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3504 REDGOLD WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-4631
Mailing Address - Country:US
Mailing Address - Phone:916-717-9225
Mailing Address - Fax:916-341-0192
Practice Address - Street 1:3635 BRADSHAW RD STE B
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-3277
Practice Address - Country:US
Practice Address - Phone:916-368-1500
Practice Address - Fax:916-368-1501
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2012-11-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA21259363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1093420OtherNCCPA