Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Jennifer Valladares, RPA-C

Individual provider Surgical Physician Assistant · NPI 1366584633

Miss. Jennifer Valladares, RPA-C is a Surgical Physician Assistant in Brooklyn, New York. Works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

827 Prospect Pl
Brooklyn, NY 11216-4074
Phone: (917) 716-3810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3401 Centre Lake Dr Ste 470, Ontario, CA 91761-1254 — (909) 566-0445

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54334 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0060129-1 (NY)

Record details

NPI number1366584633
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

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