Active NPI
Valley Wellness Center PLLC
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1669994539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VALLEY WELLNESS CENTER PLLC
- Practice address
- 702 E Bell Rd Ste 112
Phoenix, AZ 85022 - Phone
- (602) 603-2882
- Fax
- (602) 603-2283
- NPI assigned
- Jul 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Louis Spiegel Jr.
- Title
- Owner
- Phone
- (510) 435-2164
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
702 E Bell Rd Ste 112
Phoenix, AZ 85022
Mailing address
702 E Bell Rd Ste 103
Phoenix, AZ 85022-6648
Phone (602) 603-2282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200428000364 | AZ | Part B Supplier - Clinic/Group Practice | 3971933284 |
Receives reassigned benefits from 5 practitioners Practice locations: Phoenix, AZ |
National Provider Directory
National Provider DirectoryLocations
702 E Bell Rd
Ste 1121
Phoenix, AZ 85022
Phone (602) 603-2282
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
- NPI 1801418249
AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1669994539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 E BELL RD STE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850226648",
"telephone_number": "602-603-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 E BELL RD STE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85022",
"telephone_number": "602-603-2882",
"fax_number": "602-603-2283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY WELLNESS CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-12",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "SPIEGEL",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-435-2164",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.