Desert Valley Surgical Assisting, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

DESERT VALLEY SURGICAL ASSISTING, LLC

Practice address

12801 N 65TH Ave
Glendale, AZ 85304-1648

Phone

(602) 677-7958

Fax

(800) 865-6912

NPI assigned

Jun 7, 2023

Last updated

Jun 12, 2023By 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

Blake HessNPI 1861502643

Title

Ceo

Phone

(602) 677-7958

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Blake Marcus Hess, CSA

  • Surgical Physician Assistant
  • Glendale, AZ
  • NPI 1861502643
  NPD Authorized official

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1487348850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 N 65TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041648",
            "telephone_number": "602-677-7958",
            "fax_number": "800-865-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 N 65TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041648",
            "telephone_number": "602-677-7958",
            "fax_number": "800-865-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-677-7958"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Desert Valley Wellness
• Desert Valley Wellness Medical Group, PC
• Desert Valley Wellness, PLC
• Desert West OBGYN

• Surgical Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.