Active NPI
Sun Valley Family Practice
- Family Medicine Physician
- Avondale, AZ
National Provider Identifier
1265696447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SUN VALLEY FAMILY PRACTICE
- Practice address
- 12409 West Indian School Road
Building E
Avondale, AZ 85392 - Phone
- (623) 536-5353
- Fax
- (623) 935-7790
- NPI assigned
- Jul 16, 2008
- 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
- Jojo Hoertig
- Title
- Operations Manager
- Phone
- (623) 935-7788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
12409 West Indian School Road
Building E
Avondale, AZ 85392
Mailing address
17215 North 72ND Drive
Suite C-125
Glendale, AZ 85308
Phone (623) 935-7788
National Provider Directory
National Provider DirectoryLocations
12409 W Indian School Rd
#B
Avondale, AZ 85392
Phone (623) 536-5353
13020 W Rancho Santa Fe Blvd
Ste 102
Avondale, AZ 85392
Phone (623) 536-0044
17215 N 72nd Dr
Ste C125
Glendale, AZ 85308
Phone (623) 935-7788
17215 N 72nd Dr
#C125
Glendale, AZ 85308
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Phoenix, AZ
- NPI 1841360484
-
- Medical Physician Assistant
- Mesa, AZ
- NPI 1558348961
-
- Naturopath
- Peoria, AZ
- NPI 1396896759
-
- Medical Physician Assistant
- Durham, NC
- NPI 1326340795
-
- Medical Physician Assistant
- Melbourne, FL
- NPI 1619296589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327622400000",
"number": "1265696447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17215 NORTH 72ND DRIVE",
"address_2": "SUITE C-125",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "623-935-7788",
"fax_number": "623-935-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12409 WEST INDIAN SCHOOL ROAD",
"address_2": "BUILDING E",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "85392",
"telephone_number": "623-536-5353",
"fax_number": "623-935-7790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUN VALLEY FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-16",
"last_updated": "2012-01-27",
"status": "A",
"authorized_official_last_name": "HOERTIG",
"authorized_official_first_name": "JOJO",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "623-935-7788"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.