NPIMap

Organization Active NPI

Valle del Sol, Inc.

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1356522684
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC8952 Issued in AZ
Legal business name
VALLE DEL SOL, INC.
Practice address
334 W 10TH PL Ste 100
Mesa, AZ 85201-3499
Phone
(602) 258-6797
NPI assigned
Nov 15, 2007
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Mike Renaud
Title
President & Ceo
Phone
(602) 258-6797

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC-6811 AZ
Community/Behavioral Health Agency 251S00000X OTC6811 AZ
Community/Behavioral Health Agency 251S00000X OTC8952 AZ Primary

Addresses

Primary practice location

334 W 10TH PL Ste 100
Mesa, AZ 85201-3499

Mailing address

3877 N 7TH St Ste 400
Phoenix, AZ 85014-5061
Phone (602) 258-6797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments
Opioid treatment program
Medicare-enrolled since Feb 17, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050516000299 AZ Part B Supplier - Clinic/Group Practice 8628019148 Receives reassigned benefits from 76 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Mesa, AZ
O20200413002774 AZ Part B Supplier - Opioid Treatment Program (Otp) 8628019148 Practice locations: Mesa, AZ

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Valle del Sol Incorporated17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

3807 N 7th St
Phoenix, AZ 85014

502 N 27th Ave
Phoenix, AZ 85009

509 S Rockford Dr
Tempe, AZ 85288

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valle del Sol IncPhoenix, AZ, CCN 031921 Federally qualified health center Operational/Managerial Control Sep 4, 2018
Valle del Sol IncPhoenix, AZ, CCN 031922 Federally qualified health center Operational/Managerial Control Feb 16, 2015
Valle del Sol IncPhoenix, AZ, CCN 031954 Federally qualified health center Other Jul 24, 2017
Valle del Sol IncMesa, AZ, CCN 031972 Federally qualified health center Other May 1, 2018
Valle del Sol IncPhoenix, AZ, CCN 031986 Federally qualified health center Operational/Managerial Control Nov 1, 2019
Valle del Sol IncMesa, AZ, CCN 031006 Federally qualified health center Operational/Managerial Control Dec 9, 1970
Valle del Sol IncPhoenix, AZ, CCN 031063 Federally qualified health center Operational/Managerial Control Aug 5, 2025

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 10

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1356522684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145061",
            "telephone_number": "602-258-6797",
            "fax_number": "602-248-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 W 10TH PL STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013499",
            "telephone_number": "602-258-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLE DEL SOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "RENAUD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "602-258-6797"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC-6811",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC6811",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC8952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.