VALLEY DIRECT PRIMARY CARE, PLLC (NPI# 1063021269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063021269 |
| Entity Type | Organization |
| Organization Name | VALLEY DIRECT PRIMARY CARE, PLLC |
| Practice Address |
9240 W Union Hills Dr Ste 100 Peoria AZ 85382-8213 |
| Mailing Address |
Po Box 511 Litchfield Park AZ 85340-0511 |
| Practice Telephone | 6235620130 |
| Practice Fax Number | 6235620130 |
| Mailing Telephone | 6235620130 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | TARUN BASSI (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6235620130 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978215 | Valley Direct Primary Care, Pllc | Clinic/Center | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2020-06-28 |
| Street Address |
9240 W UNION HILLS DR STE 100 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444580 | Teresa L King | Nurse Practitioner | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2005-06-01 |
| 1457978215 | Valley Direct Primary Care, Pllc | Clinic/Center | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2020-06-28 |
| 1760648547 | Thompson Medical Group | Internal Medicine | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2008-07-31 |
| 1780686261 | Elishia Leon Thompson IIi | Internal Medicine | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608126 | E3 Fitology, LLC | Clinic/Center | 22431 N 81st Ave, Peoria, AZ 85383-2106 | 2019-06-14 |
| 1548781990 | A Plus Pulmonary Center PC | Clinic/Center | 13352 N 83rd Ave Ste A100, Peoria, AZ 85381-4158 | 2017-07-06 |
| 1265977078 | Unitypoint Health Junction Medical, LLC | Clinic/Center | 5901 N Prospect Rd Ste 101b, Peoria, IL 61614-1395 | 2017-01-03 |
| 1083020911 | Planned Parenthood of Illinois | Clinic/Center | 705 Ne Jefferson St., Peoria, IL 61603-3843 | 2014-07-11 |
| 1972811404 | Sunshine Medical Care Corp | Clinic/Center | 15943 N 77th Ave, Peoria, AZ 85382-3867 | 2010-09-17 |
| 1730417676 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 21731 N 77th Ave, Suite 1300, Peoria, AZ 85382-2109 | 2009-12-04 |
| 1396923702 | Proctor Health Systems | Clinic/Center | 5401 N Knoxville Ave Ste 306, Peoria, IL 61614-5021 | 2008-02-07 |
| 1750493805 | Belcrest Services, Ltd | Clinic/Center | 3915 Barring Trce, Peoria, IL 61615-2500 | 2006-08-31 |
| 1922110089 | Belcrest Services, Ltd | Clinic/Center | 9118 N Lindbergh Dr, Peoria, IL 61615-1422 | 2006-08-31 |
| 1457978215 | Valley Direct Primary Care, Pllc | Clinic/Center | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2020-06-28 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.