Desert West Family Health Center, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

22654 Issued in 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

Last updated

Jun 19, 2013By 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

Raymond R Valdivia, M.D.NPI 1417069774

Title

President

Phone

(623) 936-7960

Specialties & licenses 1

Addresses

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 2

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.

• Raymond R. Valdivia, M.D.

  • Family Medicine Physician
  • Tolleson, AZ
  • NPI 1417069774
  Authorized official Same address or phone
• Oyuki Coronado, FNP-C

  • Family Nurse Practitioner
  • Buckeye, AZ
  • NPI 1164997417
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1770740243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 W VAN BUREN ST",
            "address_2": "SUITE 1",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853532826",
            "telephone_number": "623-936-7960",
            "fax_number": "623-936-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 W VAN BUREN ST",
            "address_2": "SUITE 1",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853532826",
            "telephone_number": "623-936-7960",
            "fax_number": "623-936-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT WEST FAMILY HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "VALDIVIA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-936-7960",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "22654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nataly De Medeiros, DDS
• Danielle L Debake, PHARMD
• Janine Deems
• Anyier Deng
• Satyen Desai, RPH
• 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

• Primary Care Clinic/Center in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.