Paradise Valley Medical Group

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PARADISE VALLEY MEDICAL GROUP

Practice address

14631 N Cave Creek Rd Ste 101
Phoenix, AZ 85022-4100

Phone

(480) 828-0143

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Lorena Suleymanova

Title

Owner

Phone

(480) 828-0143

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1942874557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14631 N CAVE CREEK RD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224100",
            "fax_number": "602-429-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 N CAVE CREEK RD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224100",
            "telephone_number": "480-828-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE VALLEY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "SULEYMANOVA",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-828-0143"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradise Valley Foothills Assisted Living LLC
• Paradise Valley Health Clinic LLC
• Paradise Valley Heart and Rhythm, PLLC (Paradise Valley Heart and Rhythm)
• Paradise Valley Hospice Inc
• Paradise Valley Loving Care (Paradise Valley Loving Care LLC)
• Paradise Valley Pain and Wellness, PLLC
• Paradise Valley Physical Therapy, PLC
• Paradise Valley Premier Care LLC
• Paradise Valley Smiles LLC
• Paradise Valley Surgery Center

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.