Organization Active NPI

Sun Valley Wound Care LLC

  • General Practice Physician
  • Mesa, AZ
National Provider Identifier
1922806017
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SUN VALLEY WOUND CARE LLC
Practice address
560 W Brown Road
Suite 3001, 3Rd Floor
Mesa, AZ 85201-3221
Phone
(602) 686-0059
Fax
(480) 686-8263
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Bertha Luisa Pinto Morante
Title
Manager
Phone
(602) 686-0059

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
General Practice Physician 208D00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

560 W Brown Road
Suite 3001, 3Rd Floor
Mesa, AZ 85201-3221

Mailing address

560 W Brown Road
Suite 3001, 3Rd Floor
Mesa, AZ 85201-3221
Phone (602) 686-0059

National Provider Directory

National Provider Directory

Locations

560 W Brown Rd
Fl 3A1
Mesa, AZ 85201

560 W Brown Rd
Ste 3A1
Mesa, AZ 85201

560 W Brown Rd
Ste 309
Mesa, AZ 85201
Phone (602) 686-0059

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1922806017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W BROWN ROAD",
            "address_2": "SUITE 3001, 3RD FLOOR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013221",
            "telephone_number": "602-686-0059",
            "fax_number": "480-686-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W BROWN ROAD",
            "address_2": "SUITE 3001, 3RD FLOOR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013221",
            "telephone_number": "602-686-0059",
            "fax_number": "480-686-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "PINTO MORANTE",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-686-0059"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.