Individual provider Active NPI

Arnold W Valdivia, M.D.

  • Family Medicine Physician
  • Grants, NM
National Provider Identifier
1467561118
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
87355 Issued in NM
Practice address
1208 Bonita St
Grants, NM 87020-2234
Phone
(505) 287-4474
NPI assigned
Aug 29, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 87355 NM Primary

Addresses

Primary practice location

1208 Bonita St
Grants, NM 87020-2234

Mailing address

1208 Bonita St
Grants, NM 87020-2234
Phone (505) 287-4474

Other identifiers 3

IdentifierTypeStateIssuer
201010242OtherNMPRESBYTERIAN HEALTH CARE
20628MedicaidNM
NM012384OtherNMBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000784 NM Practitioner - Family Practice 1355412057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
87355NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cibola General Hospital Corporation CurrentSince Apr 30, 2003 Accepting new patients

Locations

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

1208 Bonita St
Grants, NM 87020
Phone (505) 287-4474

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

Interoperability endpoints

  • Direct secure messaging: avaldivia0@yourcarecommunity.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1467561118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BONITA ST",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202234",
            "telephone_number": "505-287-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 BONITA ST",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202234",
            "telephone_number": "505-287-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIA",
        "first_name": "ARNOLD",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "87355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH CARE",
            "identifier": "201010242",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20628",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM012384",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants, NM

Sources for this page

Verify at the official NPI Registry.