Active NPI
Valley Multispecialty Critical Care Services LLC
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
National Provider Identifier
1306205331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- VALLEY MULTISPECIALTY CRITICAL CARE SERVICES LLC
- Practice address
- 16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356 - Phone
- (602) 996-4747
- Fax
- (602) 953-5466
- NPI assigned
- Feb 18, 2016
- 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
- Francisco N.S. Rodriguez, M.D.
- Title
- Secretary/Treasurer
- Phone
- (602) 996-4747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | AZ | Primary |
Addresses
Primary practice location
16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Mailing address
16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Phone (602) 996-4747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z188322 | Other | AZ | MEDICARE |
| 130783 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Phoenix, AZ
- NPI 1225311871
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1306205331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323356",
"telephone_number": "602-996-4747",
"fax_number": "602-953-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323356",
"telephone_number": "602-996-4747",
"fax_number": "602-953-5466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY MULTISPECIALTY CRITICAL CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "FRANCISCO",
"authorized_official_middle_name": "N.S.",
"authorized_official_title_or_position": "SECRETARY/TREASURER",
"authorized_official_telephone_number": "602-996-4747",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z188322",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130783",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Valley Intergrative Physicians PLLC
- Valley Lighthouse Assisted Living LLC
- Valley Mental Health & Psychiatric Services, LLC
- Valley Mt LLC
- Valley Multi Surgical Specialists LLC
- Valley Neurodiagnostics LLC
- Valley of the Sun Assisted Living Home- East LLC
- Valley of the Sun Assisted Living Homes LLC
- Valley of the Sun Hospice, LLC
- Valley of the Sun Young Men'S Christian Association
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.