Organization Active NPI

Valley Neurology Clinic PC

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1346428927
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30513 Issued in AZ
Legal business name
VALLEY NEUROLOGY CLINIC PC
Practice address
10752 N 89TH PL Ste B214
Scottsdale, AZ 85260-6251
Phone
(480) 391-8222
Fax
(480) 614-8225
NPI assigned
Feb 5, 2008
Last updated
Feb 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Dr. Alireza Ahmadieh, MDNPI 1881675916
Title
Owner
Phone
(480) 391-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30513 AZ Primary

Addresses

Primary practice location

10752 N 89TH PL Ste B214
Scottsdale, AZ 85260-6251

Mailing address

10752 N 89TH PL Ste B214
Scottsdale, AZ 85260-6251
Phone (480) 391-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051206000996 AZ Part B Supplier - Clinic/Group Practice 9335169275 Receives reassigned benefits from 1 practitioner
Practice locations: Casa Grande, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

1968 N Peart Rd
Ste 8
Casa Grande, AZ 85122
Phone (520) 421-9939

10752 N 89th Pl
Ste 214
Scottsdale, AZ 85260
Phone (480) 391-8222

10752 N 89th Pl
Ste B214
Scottsdale, AZ 85260
Phone (480) 391-8222

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1346428927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE B214",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606251",
            "telephone_number": "480-391-8222",
            "fax_number": "480-614-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE B214",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606251",
            "telephone_number": "480-391-8222",
            "fax_number": "480-614-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY NEUROLOGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "AHMADIEH",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-391-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "30513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.