Desert Valley Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

DESERT VALLEY PLASTIC SURGERY PLLC

Practice address

6116 E Arbor Ave Ste 102
Mesa, AZ 85206-6103

Phone

(480) 770-5015

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By 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

Genaro Francisco ValladolidNPI 1861788192

Title

Member/Manager

Phone

(619) 664-7336

Specialties & licenses 1

Addresses

Tax ID family

Desert Valley Plastic Surgery PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Desert Valley Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Phoenix, AZ
  • NPI 1629682190
  NPD tax ID

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.

• Genaro Francisco Valladolid, M.D.

  • Plastic Surgery Physician
  • Indianapolis, IN
  • NPI 1861788192
  NPD Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1225893696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9393 N 90TH ST., SUITE # 102",
            "address_2": "PMB # 291",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066103",
            "telephone_number": "480-770-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "VALLADOLID",
        "authorized_official_first_name": "GENARO",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "619-664-7336"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert State Dental Anesthesia, LLC
• Desert Sun Integrated Medicine (Horizon Spine Care)
• Desert Urology Consultants PC
• Desert Valley Eye Care
• Desert Valley Home Health Inc
• Desert Valley Radiology, PLC (Desert Valley Radiology)
• Desert Valley Wound Specialists Inc
• Desert View Physical Therapy
• Desert View Physical Therapy
• Desert Vista Counseling Services (The Arizona Relationship Institute)

• Plastic Surgery Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.