Desert West Family Health Center, P.C.
Organization Active NPI Primary Care Clinic/Center · Tolleson, AZ
NPI 1770740243 · NPPES record last updated Jun 19, 2013
Key facts
- NPI
- 1770740243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 22654 (AZ)
- Legal business name
- DESERT WEST FAMILY HEALTH CENTER, P.C.
- Practice address
- 9550 W Van Buren St
Suite 1
Tolleson, AZ 85353-2826 - Phone
- (623) 936-7960
- Fax
- (623) 936-7980
- NPI assigned
- May 21, 2008
- Organization subpart
- No
Authorized official
- Name
- Raymond R Valdivia, M.D.
- Title
- President
- Phone
- (623) 936-7960
Practitioners 1
-
Oyuki Coronado, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0531356 | Desert West Family Health Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
Locations
9550 W Van Buren St
Ste 1
Tolleson, AZ 85353
Phone (602) 936-7960
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 22654 | AZ | Yes |
Addresses
Primary practice location
9550 W Van Buren St
Suite 1
Tolleson, AZ 85353-2826
Mailing address
9550 W Van Buren St
Suite 1
Tolleson, AZ 85353-2826
Phone (623) 936-7960
Other providers in Tolleson, AZ
- Nataly De Medeiros
- Danielle L Debake
- Janine Deems
- Anyier Deng
- Satyen Desai
- Destiny Behavioral Health Residential Care LLC 2
- Destiny Behavioral Health Residential Care LLC 3
- Destiny Behavioral Health Residential Care LLC 4
- Destiny Behavioral Health Residential Care LLC 5
- Destiny Behavioral Health Residential Care LLC 6
All providers in Tolleson, AZ · Primary Care Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.