Organization Active NPI

Valley Injury Specialists LLC

  • General Practice Physician
  • Glendale, AZ
National Provider Identifier
1902147903
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VALLEY INJURY SPECIALISTS LLC
Practice address
7802 N 43Rd Ave
5
Glendale, AZ 85301-8111
Phone
(623) 915-1000
Fax
(623) 934-0224
NPI assigned
Mar 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Lisa Mazzarella, RN
Title
Owner
Phone
(623) 915-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

7802 N 43Rd Ave
5
Glendale, AZ 85301-8111

Mailing address

7802 N 43Rd Ave
5
Glendale, AZ 85301-8111
Phone (623) 915-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1902147903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 N 43RD AVE",
            "address_2": "5",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853018111",
            "telephone_number": "623-915-1000",
            "fax_number": "623-934-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 N 43RD AVE",
            "address_2": "5",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853018111",
            "telephone_number": "623-915-1000",
            "fax_number": "623-934-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INJURY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "MAZZARELLA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-915-1000",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.