Organization Active NPI

Valleyside Mobile Medicine Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1649922196
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
VALLEYSIDE MOBILE MEDICINE INC
Practice address
9200 E Raintree Dr Ste 100
Scottsdale, AZ 85260-7308
Phone
(602) 600-8944
Fax
(602) 865-7163
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Mary Tovmasyan, NPNPI 1982378790
Title
Administrator
Phone
(602) 600-8944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary
Home Infusion Agency 251F00000X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

9200 E Raintree Dr Ste 100
Scottsdale, AZ 85260-7308

Mailing address

21061 N 78TH LN
Peoria, AZ 85382-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220321001684 AZ Part B Supplier - Clinic/Group Practice 3577958008 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

8751 N 51st Ave
Ste 120E
Glendale, AZ 85302

9200 E Raintree Dr
Ste 100
Scottsdale, AZ 85260
Phone (480) 657-0003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1649922196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21061 N 78TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 E RAINTREE DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607308",
            "telephone_number": "602-600-8944",
            "fax_number": "602-865-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYSIDE MOBILE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "TOVMASYAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-600-8944",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.