Active NPI
Victoria C Valdecanas, M.D.
- Family Medicine Physician
- Prescott Valley, AZ
National Provider Identifier
1336197938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23288
- Practice address
- 7700 E Florentine Rd Ste 202
Prescott Valley, AZ 86314-2245 - Phone
- (928) 442-8710
- Fax
- (928) 442-8742
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23288 | AZ | Primary |
Addresses
Primary practice location
7700 E Florentine Rd Ste 202
Prescott Valley, AZ 86314-2245
Mailing address
PO Box 10880
Prescott, AZ 86304-0880
Phone (928) 759-5874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z110773 | Other | AZ | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23288 | AZ | MD | Ophthalmic Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Tucson Emergency Physicians, PC | Past | Accepting new patients | |
| Yavapai Regional Medical Center Physician Care LLC | Family Medicine | Past | Accepting new patients |
| Emergency Room Associates Limited | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1770586869
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1932162039
-
- Family Medicine Physician
- Prescott Valley, AZ
- NPI 1043449887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1336197938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10880",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863040880",
"telephone_number": "928-759-5874",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 E FLORENTINE RD STE 202",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142245",
"telephone_number": "928-442-8710",
"fax_number": "928-442-8742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDECANAS",
"first_name": "VICTORIA",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "23288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z110773",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.