Clinica Hispana of West Valley

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

28603 Issued in AZ

Legal business name

CLINICA HISPANA OF WEST VALLEY

Practice address

6524 W Indian School Rd
# C
Phoenix, AZ 85033-3329

Phone

(623) 247-7409

NPI assigned

Nov 25, 2013

Last updated

Nov 25, 2013By 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

Perminder Vaid, M.D.NPI 1609977057

Title

Manager

Phone

(623) 247-7409

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Perminder Dutt Vaid, M.D.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1609977057
  NPD Authorized official

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1285064469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 W INDIAN SCHOOL RD",
            "address_2": "# C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333329",
            "telephone_number": "623-247-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 W INDIAN SCHOOL RD",
            "address_2": "# C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333329",
            "telephone_number": "623-247-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA HISPANA OF WEST VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "VAID",
        "authorized_official_first_name": "PERMINDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-247-7409",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "28603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "938186",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.