Organization Active NPI

West Valley Wellness Center LLC

  • State or Local Public Health Clinic/Center
  • Sun City, AZ
National Provider Identifier
1821832981
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
WEST VALLEY WELLNESS CENTER LLC
Practice address
10404 W Coggins Dr Ste 110
Sun City, AZ 85351-3465
Phone
(623) 933-8888
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Khana DiasNPI 1124860960
Title
Owner
Phone
(623) 399-7595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

10404 W Coggins Dr Ste 110
Sun City, AZ 85351-3465

Mailing address

10404 W Coggins Dr Ste 110
Sun City, AZ 85351-3465
Phone (623) 933-8888

National Provider Directory

National Provider Directory

Locations

10404 W Coggins Dr
Ste 110
Sun City, AZ 85351
Phone (623) 974-9666

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1821832981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 W COGGINS DR STE 110",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513465",
            "telephone_number": "623-933-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 W COGGINS DR STE 110",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513465",
            "telephone_number": "623-933-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "DIAS",
        "authorized_official_first_name": "KHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-399-7595"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.