Organization Active NPI

Valley Kidney Corp.

  • Multi-Specialty Clinic/Center
  • Chandler, AZ
National Provider Identifier
1386892610
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VALLEY KIDNEY CORP.
Practice address
1600 W. Chandler Blvd.
Suite #110
Chandler, AZ 85224-6100
Phone
(480) 584-3491
Fax
(480) 584-4693
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Mashood Qadri, MD
Title
President
Phone
(480) 584-3491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X AZ Primary

Addresses

Primary practice location

1600 W. Chandler Blvd.
Suite #110
Chandler, AZ 85224-6100

Mailing address

1600 W. Chandler Blvd
Suite #110
Chandler, AZ 85224-6100
Phone (480) 584-3491

Other identifiers 1

IdentifierTypeStateIssuer
214680MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1673 E Monument PLZ Cir
Casa Grande, AZ 85122

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1386892610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W. CHANDLER BLVD",
            "address_2": "SUITE #110",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246100",
            "telephone_number": "480-584-3491",
            "fax_number": "480-584-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W. CHANDLER BLVD.",
            "address_2": "SUITE #110",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246100",
            "telephone_number": "480-584-3491",
            "fax_number": "480-584-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY KIDNEY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "QADRI",
        "authorized_official_first_name": "MASHOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-584-3491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.