Organization Active NPI

Valley Practitioners PS

  • Primary Care Clinic/Center
  • Toppenish, WA
National Provider Identifier
1356525901
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VALLEY PRACTITIONERS PS
Practice address
419 N D St
Toppenish, WA 98948-1201
Phone
(509) 830-4643
Fax
(509) 865-2682
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Cipriano C Garcia, ARNP
Title
Nurse Practitioner
Phone
(509) 830-4643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X WA Primary

Addresses

Primary practice location

419 N D St
Toppenish, WA 98948-1201

Mailing address

PO Box 684
Toppenish, WA 98948-0684
Phone (509) 830-4643

Other identifiers 1

IdentifierTypeStateIssuer
9626318MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1356525901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480684",
            "telephone_number": "509-830-4643",
            "fax_number": "509-865-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N D ST",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481201",
            "telephone_number": "509-830-4643",
            "fax_number": "509-865-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PRACTITIONERS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CIPRIANO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "509-830-4643",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9626318",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toppenish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.