Valle del Sol Inc

A Medicare group practice based in Phoenix, AZ: 13 NPIs enrolled under one PECOS associate control ID (PAC ID 8628019148), with 76 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8628019148The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
AZ
Enrollments
10
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 2 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20050516000299 AZ Part B Supplier - Clinic/Group Practice 1831344035
O20141125000648 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1255614079
O20180402000429 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1881198992
O20170922000797 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1922527928
O20150130000995 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1225317944
O20251003001451 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1174345839
O20210819002466 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1467127613
O20191205000344 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1659927556
O20200413002774 AZ Part B Supplier - Opioid Treatment Program (Otp) 1356522684
O20200406002893 AZ Part B Supplier - Opioid Treatment Program (Otp) 1578709002

NPIs in this group 13

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 76

Clinicians who reassign their Medicare benefits to this group (76) or whom Care Compare lists as members (25).

Sources for this page