Paradise Valley Health Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PARADISE VALLEY HEALTH CLINIC LLC

Practice address

2990 E Northern Ave Ste D107
Phoenix, AZ 85028-4840

Phone

(480) 725-7106

Fax

(480) 903-5166

NPI assigned

Jul 24, 2024

Last updated

Aug 28, 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

Hermine Nazikian, NPNPI 1821718453

Title

NP and Practice Manager

Phone

(480) 725-7106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Hermine Nazikian, APRN

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1821718453
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1710715305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 E NORTHERN AVE STE D107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284840",
            "telephone_number": "480-725-7106",
            "fax_number": "480-903-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 E NORTHERN AVE STE D107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284840",
            "telephone_number": "480-725-7106",
            "fax_number": "480-903-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE VALLEY HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "NAZIKIAN",
        "authorized_official_first_name": "HERMINE",
        "authorized_official_title_or_position": "NP AND PRACTICE MANAGER",
        "authorized_official_telephone_number": "480-725-7106",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradise Valley Family Care PLLC
• Paradise Valley Family Dental LLC
• Paradise Valley Family Medicine, PC
• Paradise Valley Foot & Ankle PLLC
• Paradise Valley Foothills Assisted Living LLC
• Paradise Valley Heart and Rhythm, PLLC (Paradise Valley Heart and Rhythm)
• Paradise Valley Hospice Inc
• Paradise Valley Loving Care (Paradise Valley Loving Care LLC)
• Paradise Valley Medical Group
• Paradise Valley Pain and Wellness, PLLC

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.