Organization Active NPI

Angels Valley Concierge Healthcare Center PLLC

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1932066552
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
ANGELS VALLEY CONCIERGE HEALTHCARE CENTER PLLC
Practice address
14820 N Cave Creek Rd Ste 2
Phoenix, AZ 85032-4951
Phone
(833) 599-6507
Fax
(480) 535-5548
NPI assigned
Jan 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Jean Simon Joel Edouard, PA, SA-CNPI 1619526217
Title
Owner
Phone
(520) 527-8038

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
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

14820 N Cave Creek Rd Ste 2
Phoenix, AZ 85032-4951

Mailing address

14820 N Cave Creek Rd Ste 2
Phoenix, AZ 85032-4951
Phone (833) 599-6507

National Provider Directory

National Provider Directory

Locations

14820 N Cave Creek Rd
Ste 2
Phoenix, AZ 85032
Phone (202) 455-0013

Practitioners & affiliated clinicians

Practitioners 1

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": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1932066552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14820 N CAVE CREEK RD STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324951",
            "telephone_number": "833-599-6507",
            "fax_number": "480-535-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14820 N CAVE CREEK RD STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324951",
            "telephone_number": "833-599-6507",
            "fax_number": "480-535-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS VALLEY CONCIERGE HEALTHCARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "EDOUARD",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "SIMON JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-527-8038",
        "authorized_official_credential": "PA, SA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 6, 2026; 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.