Az Valley Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AZ VALLEY PHYSICIANS LLC

Practice address

5802 N 88TH Dr
Glendale, AZ 85305-2093

Phone

(480) 213-0232

Fax

(623) 440-7820

NPI assigned

Apr 18, 2024

Last updated

Apr 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanna E Quinones, RN

Title

Billing Admin

Phone

(623) 337-1123

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1467207050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 N 88TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052093",
            "telephone_number": "480-213-0232",
            "fax_number": "623-440-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 N 88TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052093",
            "telephone_number": "480-213-0232",
            "fax_number": "623-440-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ VALLEY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING ADMIN",
        "authorized_official_telephone_number": "623-337-1123",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Glendale, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.