NPIMap

Organization Active NPI

Sun Valley Urology, PC

  • Urology Physician
  • Sun City West, AZ
National Provider Identifier
1841320439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
22436 Issued in AZ
Legal business name
SUN VALLEY UROLOGY, PC
Practice address
13907 W Camino del Sol
Suite 101
Sun City West, AZ 85375-4405
Phone
(623) 584-4695
Fax
(623) 298-6708
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Aubrey Joseph Chung Jr., MDNPI 1639146061
Title
President
Phone
(623) 584-4695

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 22436 AZ Primary

Addresses

Primary practice location

13907 W Camino del Sol
Suite 101
Sun City West, AZ 85375-4405

Mailing address

13907 W Camino del Sol
Suite 101
Sun City West, AZ 85375-4405
Phone (623) 584-4695

Other identifiers 6

IdentifierTypeStateIssuer
AZ0355880OtherAZBCBS-AUBREY J CHUNG JR MD
AZ0867880OtherAZBCBS JOHN G HANSEN, JR MD
AZ0810320OtherAZBCBS PAUL A BOMBINO, MD
169947MedicaidAZ
397051MedicaidAZ
434712MedicaidAZ

National Provider Directory

National Provider Directory

Locations

18700 N 64th Dr
Ste 101
Glendale, AZ 85308
Phone (623) 561-6211

13907 W Camino del Sol
Sun City West, AZ 85375
Phone (623) 584-4695

Practitioners & affiliated clinicians

Practitioners 6

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841320439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13907 W CAMINO DEL SOL",
            "address_2": "SUITE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754405",
            "telephone_number": "623-584-4695",
            "fax_number": "623-298-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13907 W CAMINO DEL SOL",
            "address_2": "SUITE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754405",
            "telephone_number": "623-584-4695",
            "fax_number": "623-298-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY UROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-584-4695",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AZ",
            "license": "22436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-AUBREY J CHUNG JR MD",
            "identifier": "AZ0355880",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS JOHN G HANSEN, JR MD",
            "identifier": "AZ0867880",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PAUL A BOMBINO, MD",
            "identifier": "AZ0810320",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169947",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397051",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434712",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.