Organization Active NPI

West Valley Health Equity

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1922714385
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WEST VALLEY HEALTH EQUITY
Practice address
4338 W Thomas Rd
St 173
Phoenix, AZ 85031-3878
Phone
(623) 400-5881
NPI assigned
Jan 27, 2023
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Helen Bouchard-Bujak
Title
Director
Phone
(623) 341-2825

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

4338 W Thomas Rd
St 173
Phoenix, AZ 85031-3878

Mailing address

4338 W Thomas Rd
St 173
Phoenix, AZ 85031-3878
Phone (623) 400-5881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327000251 AZ Part B Supplier - Clinic/Group Practice 9830563295 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

4338 W Thomas Rd
Ste 173
Phoenix, AZ 85031
Phone (602) 429-2239

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1922714385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 W THOMAS RD",
            "address_2": "ST 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313878",
            "telephone_number": "623-400-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 W THOMAS RD",
            "address_2": "ST 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313878",
            "telephone_number": "623-400-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY HEALTH EQUITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD-BUJAK",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-341-2825"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.