SUN VALLEY MEDICAL GROUP (NPI# 1437422425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437422425 |
| Entity Type | Organization |
| Organization Name | SUN VALLEY MEDICAL GROUP |
| Practice Address |
17215 N 72nd Dr Suite C-125 Glendale AZ 85308-8558 |
| Practice Telephone | 6239357788 |
| Mailing Telephone | 6239357788 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | AARON DEGROOT (OWNER) |
| Authorized Official Telephone | 6239357788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 5917 | AZ | Chiropractic Providers |
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
4105 | AZ | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | 4105 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871865741 | Sun Valley Medical Group | Chiropractor | 13020 W Rancho Santa Fe Blvd, Suite 101, Avondale, AZ 85392-2002 | 2012-02-07 |
| Street Address |
17215 N 72ND DR SUITE C-125 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215990262 | Kathy Crowley | Social Worker | 17215 N 72nd Dr, Suite D140, Glendale, AZ 85308-8558 | 2006-04-10 |
| 1891235636 | Shirley Foster | Counselor | 17215 N 72nd Dr, Glendale, AZ 85037 | 2017-02-27 |
| 1093254237 | Sierra Brianne Carroll | Counselor | 17215 N 72nd Dr, Glendale, AZ 85308-8558 | 2017-02-21 |
| 1720336324 | Kellie M Gray PC | Chiropractor | 17215 N 72nd Dr, Suite A105, Glendale, AZ 85308-8558 | 2012-08-29 |
| 1902134844 | Leon Frederick Stroman | Massage Therapist | 17215 N 72nd Dr, Bldg. A, Suite 105, Glendale, AZ 85308-8558 | 2009-12-04 |
| 1134204126 | Scott Aaron Mitchell | Chiropractor | 17215 N 72nd Dr, Ste 105, Glendale, AZ 85308-8558 | 2006-10-26 |
| 1659474013 | Thomas Michael Mack | Dentist | 17215 N 72nd Dr, Ste A100, Glendale, AZ 85308 | 2006-09-07 |
| 1750307302 | Houshang Semino Mdpc | Psychiatry & Neurology | 17215 N 72nd Dr, Building D 140a, Glendale, AZ 85308-8558 | 2006-07-15 |
| 1467480798 | Margaret S. Friedman | Psychologist | 17215 N 72nd Dr, D-140a, Glendale, AZ 85308-8558 | 2006-06-28 |
| 1881649259 | Nasser Djavadi | Psychiatry & Neurology | 17215 N 72nd Dr, Bldg D #140a, Glendale, AZ 85308-8579 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967327 | Kristian Adair | Family Medicine | 7200 W Bell Rd Ste E102, Glendale, AZ 85308-8534 | 2020-06-24 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1053930248 | Shine Mmg Inc | Family Medicine | 450 N Brand Blvd Ste 625a, Glendale, CA 91203-2347 | 2020-04-08 |
| 1497381446 | Leonardo C Ortiz Md A Medical Corporation | Family Medicine | 2145 Ashington Dr, Glendale, CA 91206-1140 | 2020-03-20 |
| 1508498130 | Nare Stepanyan Md Inc | Family Medicine | 1030 S Glendale Ave Ste 503, Glendale, CA 91205-2820 | 2020-02-11 |
| 1194368530 | Carolyn Kathan | Family Medicine | 3732 W Charleston Ave, Glendale, AZ 85308-2708 | 2019-10-17 |
| 1932740966 | Starcare Homes LLC | Family Medicine | 9416 W Colter St, Glendale, AZ 85305-3373 | 2019-10-01 |
| 1871050559 | Mensa Family Clinic Inc | Family Medicine | 1110 S Glendale Ave Ste E, Glendale, CA 91205-5623 | 2019-02-28 |
| 1891279907 | Denise M Gomez | Family Medicine | 7200 W Bell Rd Unit 101, Glendale, AZ 85308-8529 | 2018-09-24 |
| 1427537299 | Brilliant Health Center Inc | Family Medicine | 1014 E Colorado St, Glendale, CA 91205-1226 | 2018-08-12 |
| Find all providers in GLENDALE | ||||
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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.