NPIMap

Organization Active NPI

Valle del Sol, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
National Provider Identifier
1225317944
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VALLE DEL SOL, INC.
Practice address
1209 S 1St Ave
Phoenix, AZ 85003-2605
Phone
(602) 258-6797
Fax
(602) 254-7121
NPI assigned
Aug 11, 2011
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Rebecca Razo
Title
Contracts Director
Phone
(602) 258-6797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1209 S 1St Ave
Phoenix, AZ 85003-2605

Mailing address

3877 N 7TH St Ste 400
Phoenix, AZ 85014-5061
Phone (602) 258-6797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050516000299 AZ Part B Supplier - Clinic/Group Practice 8628019148 Receives reassigned benefits from 76 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Mesa, AZ
O20150130000995 AZ Part A Provider - Federally Qualified Health Center (FQHC) 8628019148 Practice locations: Phoenix, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225317944. Details of each certification follow.

Federally qualified health center certification: CCN 031922

Legal name
VALLE DEL SOL INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 16, 2015
Last certification
Feb 16, 2015
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1970 in AZ
Enrollment address
1209 S 1St Avenue
Phoenix, AZ 85003

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Valle del Sol17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
June Campbell Individual Corporate DirectorBoard Member Aug 1, 2014
Carmen Heredia Individual Corporate OfficerCeo Dec 1, 2019
Corporate DirectorBoard Member Dec 1, 2019
W-2 Managing Employee Dec 5, 2005
Manuel Calero Individual Corporate DirectorBoard Member Aug 1, 2014
Joseph Losada Individual Corporate DirectorBoard Member Apr 6, 2020
W-2 Managing EmployeeCfo Apr 6, 2020
Rick Carter Individual Corporate DirectorBoard Member Jan 1, 2019
Desiree S Cogley Individual Corporate DirectorBoard Member Aug 1, 2014
W-2 Managing EmployeeChief of Human Resources Aug 1, 2014
Florentino Gabriel Licon Individual Corporate DirectorBoard Member Aug 1, 2014
Helena Gudger Individual Corporate DirectorBoard Member Aug 1, 2014
Rebecca Razo Individual W-2 Managing EmployeeContracts Director May 7, 2018
Virginia Valenzuela Individual Corporate DirectorBoard Member Dec 1, 2019
Andrea Moreno Individual Corporate DirectorBoard Member Aug 1, 2014
Diana Ixchel del Castillo Medina Individual Corporate DirectorBoard Member Aug 1, 2014
Linda McPhaul Individual Corporate DirectorBoard Member Aug 1, 2014
Valle del Sol Inc Organization, Phoenix, AZ Corporation, Non-profit Operational/Managerial Control Feb 16, 2015
Arthur Ruiz Individual Corporate DirectorBoard Member Aug 1, 2014
Joellen Lynn Individual Corporate DirectorBoard Member Aug 1, 2014

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valle del Sol IncPhoenix, AZ, CCN 031921 Federally qualified health center Operational/Managerial Control Sep 4, 2018
Valle del Sol IncPhoenix, AZ, CCN 031954 Federally qualified health center Other Jul 24, 2017
Valle del Sol IncMesa, AZ, CCN 031972 Federally qualified health center Other May 1, 2018
Valle del Sol IncPhoenix, AZ, CCN 031986 Federally qualified health center Operational/Managerial Control Nov 1, 2019
Valle del Sol IncMesa, AZ, CCN 031006 Federally qualified health center Operational/Managerial Control Dec 9, 1970
Valle del Sol IncPhoenix, AZ, CCN 031063 Federally qualified health center Operational/Managerial Control Aug 5, 2025

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1225317944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145061",
            "telephone_number": "602-258-6797",
            "fax_number": "602-248-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 S 1ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032605",
            "telephone_number": "602-258-6797",
            "fax_number": "602-254-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLE DEL SOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "RAZO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CONTRACTS DIRECTOR",
        "authorized_official_telephone_number": "602-258-6797"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.