Individual provider Active NPI

Amin Amilcar Valencia Leal, M.D

  • Student in an Organized Health Care Education/Training Program
  • Phoenix, AZ
National Provider Identifier
1013708676
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
R81957 Issued in AZ
Practice address
350 W Thomas Road
St Joseph'S Hospital and Medical Center
Phoenix, AZ 85013
Phone
(602) 406-3000
NPI assigned
May 14, 2025
Reactivated
Apr 1, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R81957 AZ Primary

Addresses

Primary practice location

350 W Thomas Road
St Joseph'S Hospital and Medical Center
Phoenix, AZ 85013

Mailing address

8055 East Thomas Road, Unit #104
Scottsdale, AZ 85251
Phone (602) 623-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260427003613 AZ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2668949645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R81957AZMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1013708676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 EAST THOMAS ROAD, UNIT #104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "602-623-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS ROAD",
            "address_2": "ST JOSEPH'S HOSPITAL AND MEDICAL CENTER",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "602-406-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA LEAL",
        "first_name": "AMIN",
        "middle_name": "AMILCAR",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "deactivation_date": "2026-03-16",
        "reactivation_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R81957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.