Valle Del Sol, Inc. | |
3807 N 7th St Phoenix AZ 85014-5005 | |
(602) 258-6797 | |
(602) 248-8113 |
Full Name | Valle Del Sol, Inc. |
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Speciality | Community/Behavioral Health |
Location | 3807 N 7th St, Phoenix, Arizona |
Authorized Official Name and Position | Rebecca Razo (DIRECTOR OF CONTRACTS AND LICENSING) |
Authorized Official Contact | 6022586797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valle Del Sol, Inc. 3877 N 7th St Ste 400 Phoenix AZ 85014-5061 Ph: (602) 258-6797 | Valle Del Sol, Inc. 3807 N 7th St Phoenix AZ 85014-5005 Ph: (602) 258-6797 |
NPI Number | 1831344035 |
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Provider Enumeration Date | 12/02/2008 |
Last Update Date | 06/07/2024 |
Certification Date | 06/07/2024 |
Medicare PECOS PAC ID | 8628019148 |
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Medicare Enrollment ID | O20050516000299 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831344035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | OTC-5327 (Arizona) | Secondary |
251S00000X | Community/behavioral Health | OTC5327 (Arizona) | Primary |
Provider Name | Gorky Herrera |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740222025 PECOS PAC ID: 2860391638 Enrollment ID: I20031231000450 |
Provider Name | Eduardo S Alcantar |
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Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1184731523 PECOS PAC ID: 2961308747 Enrollment ID: I20040107000884 |
Provider Name | Roberto Zamudio Millan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245344167 PECOS PAC ID: 9537054564 Enrollment ID: I20040218000969 |
Provider Name | Howard Keith Mason |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396707568 PECOS PAC ID: 0840263760 Enrollment ID: I20040916000467 |
Provider Name | Michael A Jacobson |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609966142 PECOS PAC ID: 9335191139 Enrollment ID: I20050218000842 |
Provider Name | William H Mcginnis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275591612 PECOS PAC ID: 5698708683 Enrollment ID: I20050912000054 |
Provider Name | Eric Benjamin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639148950 PECOS PAC ID: 2264456714 Enrollment ID: I20060123001011 |
Provider Name | Duane M Wooten |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1992706758 PECOS PAC ID: 7315043023 Enrollment ID: I20070426000046 |
Provider Name | Lynnette M Hjalmervik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770709354 PECOS PAC ID: 5597812750 Enrollment ID: I20090406000360 |
Provider Name | Suganya J Karuppana |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508066994 PECOS PAC ID: 0749333052 Enrollment ID: I20110325000149 |
Provider Name | Edward Kozar |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770718520 PECOS PAC ID: 9537330170 Enrollment ID: I20110912000620 |
Provider Name | Anne L Maiden-hope |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1336383330 PECOS PAC ID: 7517118110 Enrollment ID: I20121107000608 |
Provider Name | Marilyn Yelder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689813032 PECOS PAC ID: 0244484251 Enrollment ID: I20130128000582 |
Provider Name | Debra Rodgers Herington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821352410 PECOS PAC ID: 6608015359 Enrollment ID: I20130610000746 |
Provider Name | Erin C Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265761035 PECOS PAC ID: 3072754191 Enrollment ID: I20130731000791 |
Provider Name | Wendy L Aragaki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790116945 PECOS PAC ID: 7214167618 Enrollment ID: I20140304002059 |
Provider Name | Patrick Kuritz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710191168 PECOS PAC ID: 7517182256 Enrollment ID: I20140714000262 |
Provider Name | Rachelle Jeanette Liriano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639431778 PECOS PAC ID: 9133351588 Enrollment ID: I20141124001281 |
Provider Name | Joy N Kiviat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063814176 PECOS PAC ID: 4587988027 Enrollment ID: I20150109002244 |
Provider Name | Herendira Valdez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497135388 PECOS PAC ID: 0648586305 Enrollment ID: I20150826002257 |
Provider Name | Elizabeth Jerome |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407115389 PECOS PAC ID: 6103134465 Enrollment ID: I20151006002077 |
Provider Name | Emily A Norris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760745186 PECOS PAC ID: 2062722671 Enrollment ID: I20151111001924 |
Provider Name | Ana L Mcnabb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679945174 PECOS PAC ID: 0749583342 Enrollment ID: I20160114001002 |
Provider Name | Joan Margaret Butler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023352952 PECOS PAC ID: 1557655875 Enrollment ID: I20160810000456 |
Provider Name | Glendine Soiseth |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992071526 PECOS PAC ID: 4284929704 Enrollment ID: I20160823002542 |
Provider Name | Matthew D Evans |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821431560 PECOS PAC ID: 1456571892 Enrollment ID: I20171031000336 |
Provider Name | John Lee Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760826796 PECOS PAC ID: 6406172857 Enrollment ID: I20171109000886 |
Provider Name | Leticia Del Carmen Perez-pinto |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649796285 PECOS PAC ID: 4789941279 Enrollment ID: I20171208002315 |
Provider Name | Eve Grinnell Barnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659887297 PECOS PAC ID: 2163781741 Enrollment ID: I20180108000921 |
Provider Name | Amirarsalan Eissa |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1184913659 PECOS PAC ID: 5496033557 Enrollment ID: I20180716003220 |
Provider Name | Marti M Manko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497259725 PECOS PAC ID: 0840547584 Enrollment ID: I20180726000272 |
Provider Name | Munachiso Iheonunekwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922505908 PECOS PAC ID: 3274882352 Enrollment ID: I20180822003213 |
Provider Name | Phillis C Mutembete |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215230081 PECOS PAC ID: 3476895269 Enrollment ID: I20190426000476 |
Provider Name | Bariduanen Bright Nkol |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326508797 PECOS PAC ID: 8022341346 Enrollment ID: I20190531000587 |
Provider Name | Stephanie Corella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689221384 PECOS PAC ID: 3476988304 Enrollment ID: I20200122002472 |
Provider Name | Josue Bustos |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003466731 PECOS PAC ID: 3971934936 Enrollment ID: I20200507002803 |
Provider Name | Sarah Kathryn Spencer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134734007 PECOS PAC ID: 8527488691 Enrollment ID: I20201012002720 |
Provider Name | Jessie Lee Ball |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467061762 PECOS PAC ID: 0840600433 Enrollment ID: I20201111000172 |
Provider Name | Soledad Villalobos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356740088 PECOS PAC ID: 9830504646 Enrollment ID: I20210209000018 |
Provider Name | Suzanne R Tambasco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417500786 PECOS PAC ID: 5597160408 Enrollment ID: I20210816001918 |
Provider Name | Cristina Maria Galto |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922308584 PECOS PAC ID: 0840682597 Enrollment ID: I20220110001371 |
Provider Name | Michelle M Gabay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245452119 PECOS PAC ID: 9032103338 Enrollment ID: I20230420000862 |
Provider Name | Caesar Fernando Rangel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093420804 PECOS PAC ID: 0446615090 Enrollment ID: I20230503002464 |
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