Valley Vista Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35263 Issued in AZ

Legal business name

VALLEY VISTA MEDICAL CENTER

Practice address

157 N Coronado Dr
#C
Sierra Vista, AZ 85635-6360

Phone

(520) 458-0993

Fax

(520) 458-4402

NPI assigned

May 7, 2012

Last updated

Nov 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Archana Bansal, MDNPI 1881663615

Title

Owner

Phone

(520) 458-0993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4594/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Archana Bansal, M.D.

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1881663615
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1194084418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N CORONADO DR",
            "address_2": "#C",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356360",
            "telephone_number": "520-458-0993",
            "fax_number": "520-458-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N CORONADO DR",
            "address_2": "#C",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356360",
            "telephone_number": "520-458-0993",
            "fax_number": "520-458-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VISTA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-458-0993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Pathology Inc.
• Laurentine Uwamahoro, NP
• Christine Christel Vaaler, OTR/L
• Ashley Michelle Valentin
• Sarah Valenzuela, RN
• Valor Health Services, LLC
• Valor Hospicecare LLC
• Daniela Christ Van Wart, L.AC, M.A.
• Kaitlyn Dee Vance, RN, BSN
• M. Kim Vanderheiden

• Internal Medicine Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.