Valley Allergy and Asthma Clinic PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

30666 Issued in AZ

Legal business name

VALLEY ALLERGY AND ASTHMA CLINIC PLLC

Practice address

5757 W Thunderbird Rd
W205
Glendale, AZ 85306-4641

Phone

(602) 548-0981

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Praveena R Kothur, MDNPI 1114973179

Title

Physician/Owner

Phone

(602) 548-0981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Praveena R Kothur, M.D.

  • Allergy & Immunology Physician
  • Glendale, AZ
  • NPI 1114973179

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Amber Patricia Reed

  • Physician Assistant
  • Glendale, AZ
  • NPI 1093300436
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1760429641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5148",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853125148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD",
            "address_2": "W205",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064641",
            "telephone_number": "602-548-0981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14506 W Granite Valley Dr Ste 123",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853756012",
            "country_code": "US",
            "telephone_number": "602-548-0981",
            "fax_number": "602-298-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY ALLERGY AND ASTHMA CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "KOTHUR",
        "authorized_official_first_name": "PRAVEENA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "602-548-0981",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "30666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Valenzuela, MD
• Anthony Robert Valenzuela, D.M.D.
• Daira Valenzuela, RBT
• Diana Noemi Valenzuela
• Jessica Valladolid, MSN, APRN, FNP-C
• Valley Chest & Vascular Surgeons PLLC
• Valley Dermatology PLLC
• Valley Gastrointestinal Care
• Valley Hospitalists, LLC
• Valley Injury Specialists LLC

• Specialist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.