Sun Valley Family Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2635 Issued in AZ

Legal business name

SUN VALLEY FAMILY CARE PC

Practice address

1762 W Bell Rd
Phoenix, AZ 85023-3414

Phone

(602) 504-6058

Fax

(602) 485-5156

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Kumar Daulat, D.O.NPI 1992847651

Title

Physician

Phone

(602) 493-3677

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Sun Valley Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sun Valley Family Vate

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1518921550
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kumar Praful Daulat, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1992847651
  Medicare reassignment Care Compare group NPD Authorized official
• Aurea Maridia Castellanos, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1427562909

  Family Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1992078711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST",
            "address_2": "SUITE 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323345",
            "telephone_number": "602-493-3677",
            "fax_number": "602-485-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 W BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233414",
            "telephone_number": "602-504-6058",
            "fax_number": "602-485-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY FAMILY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "DAULAT",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-493-3677",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182874",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun Pain Management, PLLC
• Sun Physical Therapy and Rehabilitation, LLC
• Sun State Behavioral, LLC
• Sun Valley Anesthesiologists LTD
• Sun Valley Dentistry, Inc
• Sun Valley Family Vate
• Sun Valley Hand Surgery, LTD.
• Sun Valley Spine and Orthopedics, PLLC
• Sun Valley Ventures
• Sun West Dental Center 2, LLC

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.