Organization Active NPI

Northwest Valley Health Associates

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1114064995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10747 Issued in AZ
Legal business name
NORTHWEST VALLEY HEALTH ASSOCIATES
Practice address
13090 N 94TH Dr Ste 210
Peoria, AZ 85381-4258
Phone
(623) 972-6700
Fax
(623) 933-3755
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ruben Aguilera, M.D.NPI 1568463792
Title
President
Phone
(623) 972-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10747 AZ Primary

Addresses

Primary practice location

13090 N 94TH Dr Ste 210
Peoria, AZ 85381-4258

Mailing address

13090 N 94TH Dr Ste 210
Peoria, AZ 85381-4258
Phone (623) 972-6700

Other names 1

  • NORTHWEST VALLEY HEALTH ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114064995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR STE 210",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814258",
            "telephone_number": "623-972-6700",
            "fax_number": "623-933-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR STE 210",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814258",
            "telephone_number": "623-972-6700",
            "fax_number": "623-933-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST VALLEY HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUILERA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-972-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "10747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST VALLEY HEALTH ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.