Active NPI
Valley Boutique Care, PLLC.
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1215785696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VALLEY BOUTIQUE CARE, PLLC.
- Practice address
- 1607 E Tonopah Dr
Phoenix, AZ 85024-4321 - Phone
- (602) 686-0647
- NPI assigned
- May 9, 2024
- Last updated
- May 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William F. Gabbert Jr., DO
- Title
- Owner / Ceo / Cmo
- Phone
- (602) 686-0647
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1607 E Tonopah Dr
Phoenix, AZ 85024-4321
Mailing address
1607 E Tonopah Dr
Phoenix, AZ 85024-4321
Phone (602) 686-0647
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1215785696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 E TONOPAH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850244321",
"telephone_number": "602-686-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 E TONOPAH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850244321",
"telephone_number": "602-686-0647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY BOUTIQUE CARE, PLLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A",
"authorized_official_last_name": "GABBERT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "OWNER / CEO / CMO",
"authorized_official_telephone_number": "602-686-0647",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.