West Valley Surgical Specialists PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WEST VALLEY SURGICAL SPECIALISTS PLLC

Practice address

14155 N 83Rd Ave Ste 105
Peoria, AZ 85381-5640

Phone

(623) 201-8277

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Jarvis Walters, DONPI 1508108945

Title

Owner

Phone

(209) 956-7732

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Jarvis Wayne Walters, DO

  • Surgery Physician
  • Peoria, AZ
  • NPI 1508108945
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1215684188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7732",
            "fax_number": "209-956-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE STE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815640",
            "telephone_number": "623-201-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY SURGICAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-956-7732",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Sara Werner
• Todd Wertish
• West Point Optical Group
• West Valley Braces
• West Valley Health & Wellness LLC
• West Valley Vision Care LLC
• West Wing Loving Care LLC
• Curtis Ivan West, DMD
• Jill A West, PA-C
• Takisha West, LPN

• Surgery Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.