NPIMap

Organization Active NPI

Valor Program at Embrave LLC

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1952145146
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VALOR PROGRAM AT EMBRAVE LLC
Practice address
430 Garden of the Gods Rd
Colorado Springs, CO 80907-4218
Phone
(719) 473-3033
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
David Delssignore
Title
Valor Client Services Manager
Phone
(719) 581-0587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

430 Garden of the Gods Rd
Colorado Springs, CO 80907-4218

Mailing address

5465 Mark Dabling Blvd FL 2
Colorado Springs, CO 80918-3851

National Provider Directory

National Provider Directory
Tax ID family
Valor Program at Embrave LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

430 Garden of the Gods Rd
Colorado Springs, CO 80907
Phone (719) 355-8183

5465 Mark Dabling Blvd
Fl 2
Colorado Springs, CO 80918

Practitioners & affiliated clinicians

Practitioners 3

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": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1952145146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 MARK DABLING BLVD FL 2",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 GARDEN OF THE GODS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074218",
            "telephone_number": "719-473-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALOR PROGRAM AT EMBRAVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "DELSSIGNORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VALOR CLIENT SERVICES MANAGER",
        "authorized_official_telephone_number": "719-581-0587"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.