Valley Care Clinic PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VALLEY CARE CLINIC PLLC

Practice address

1845 E Broadway Rd Ste 116
Tempe, AZ 85282-1685

Phone

(480) 499-0102

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Allan Cagampan Buenaventura, FNP-BCNPI 1649831223

Title

Nurse Practitioner

Phone

(480) 410-9739

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Allan Cagampan Buenaventura, FNP

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1649831223
  Medicare reassignment Care Compare group NPD Authorized official
• Wilfredo Alberto Concio, FNP-C

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1972226587
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694304000000",
    "number": "1861170078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 E BROADWAY RD STE 116",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821685",
            "telephone_number": "480-499-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E BROADWAY RD STE 116",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821685",
            "telephone_number": "480-499-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A",
        "authorized_official_last_name": "BUENAVENTURA",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "CAGAMPAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-410-9739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Juanita Valenzuela
• Victoria Valenzuela
• Valiant Hospice & Palliative Care, LLC
• Kristy Vallejo
• Valley Care & Enrichment Services, Inc
• Valley Care Medical Transportation
• Valley Dental L.L.C.
• Valley Health, PLLC.
• Valley Medical Group Inc
• Valley Oasis Wellness LLC

• Primary Care Clinic/Center in Tempe, AZ
• Providers in Tempe, 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 Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.