Stephen Valletta, C.C.P

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

8121 N 18TH Way
Phoenix, AZ 85020-3965

Phone

(602) 513-9568

Fax

(480) 777-1345

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Perfusion Specialists, LLC

  • Surgical Technologist
  • Phoenix, AZ
  • NPI 1205828894
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326066697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27588",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852857588",
            "telephone_number": "480-777-0607",
            "fax_number": "480-777-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 N 18TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203965",
            "telephone_number": "602-513-9568",
            "fax_number": "480-777-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLETTA",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "C.C.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "901224",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allana Vallee
• Brenda Vallejo
• Harmony Lynn Vallelonga, LPC
• Kristen Vallely, LAMFT
• Dana L Valletta, PNP
• Valley Addiction & Mental Health Services LLC
• Valley Allergy PLLC
• Valley Anesthesiology Consultants, Inc.
• Valley Assisted Living
• Valley Associates PRS PLLC

• Surgical Technologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgical Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.