Sun Valley Affiliated Back Center Inc

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP1086 Issued in AZ

Legal business name

SUN VALLEY AFFILIATED BACK CENTER INC

Practice address

1534 E Ray Rd
Suite 103
Gilbert, AZ 85296-4429

Phone

(480) 963-3608

Fax

(480) 855-5756

NPI assigned

Aug 15, 2006

Last updated

Sep 11, 2025By 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

Ms. Terry Lynn Graul, NP-C

Title

Director

Phone

(480) 963-3608

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215940614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 E HALE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135592",
            "telephone_number": "602-769-4982",
            "fax_number": "480-855-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 E RAY RD",
            "address_2": "SUITE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964429",
            "telephone_number": "480-963-3608",
            "fax_number": "480-855-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY AFFILIATED BACK CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GRAUL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-963-3608",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "AP1086",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.