JOSE ANGEL VALDIVIA (NPI# 1053461285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053461285 |
| Entity Type | Individual |
| Full Name | JOSE ANGEL VALDIVIA |
| Credential | PA-C |
| Practice Address |
10401 W Thunderbird Blvd Sun City AZ 85351-3004 |
| Practice Telephone | 6238765366 |
| Practice Fax Number | 8665528029 |
| Mailing Telephone | 6238765366 |
| Mailing Fax Number | 8665528029 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2145 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 455809 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194264952 | Jose Valdivia Jr. | Nurse Practitioner | 6501 N Mesa St, Suite A, El Paso, TX 79912-4435 | 2017-02-13 |
| 1629106000 | Jose Maria Valdivia Jr. | Psychiatry & Neurology | 400 W 41st St, Suite 406, Miami Beach, FL 33140-3516 | 2007-02-28 |
| Street Address |
10401 W THUNDERBIRD BLVD |
| City | SUN CITY |
| State | AZ |
| Zip Code | 85351-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275526139 | Alice M Kraft | Dietitian, Registered | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2005-08-25 |
| 1528671948 | Joseph Christopher Marranca | Physician Assistant | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2020-08-25 |
| 1740814920 | Loren Kesti | Registered Nurse | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2020-02-26 |
| 1366092082 | Regina M Valenzuela | Nurse Practitioner | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-09-14 |
| 1497302764 | Rim Mekonnen Hadgu | Pharmacist | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-08-21 |
| 1124670740 | Noemi Frechette | Physician Assistant | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-07-13 |
| 1649833716 | Francisca Melissa Olibarria | Registered Nurse | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-04-15 |
| 1235691387 | Jessica Nicole Oliverson Abel | Physician Assistant | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2019-04-05 |
| 1053880989 | Deanna Kay Villalino | Nurse Anesthetist, Certified Registered | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2018-11-20 |
| 1962977710 | Alaunus Anesthesia Plc | Anesthesiology | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2018-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003566 | T&h Hearing LLC | Hearing Aid Equipment | 13616 N. 99th Ave., Sun City, AZ 85351 | 2019-09-20 |
| 1881247682 | Amanda M Neri | Physician Assistant | 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 | 2019-07-20 |
| 1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1871084814 | Amy Mikulec | Physical Therapist | Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 | 2018-05-25 |
| 1194238345 | Lorie Jo Matthews | Nurse Practitioner | 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 | 2017-11-09 |
| 1184153363 | Susan Jane Hockman | Registered Nurse | 14601 N Delwebb Blvd, Sun City, AZ 85351 | 2017-06-09 |
| 1043769169 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 | 2016-09-30 |
| 1033563002 | Vittoria Giovannucci | Technician/Technologist | 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 | 2016-04-15 |
| 1669858379 | Qui Nguyen | Pharmacist | 10660 Nw Grand Ave, Sun City, AZ 85351 | 2015-08-04 |
| Find all providers in zip 85351 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538601273 | Kasey Horrell | Physician Assistant | 13188 N 103rd Dr, #200, Sun City, AZ 85351-3064 | 2016-11-11 |
| 1053323451 | Allied Surgical Assistant Partners Pllc | Physician Assistant | 13188 N 103rd Dr Ste 200, Sun City, AZ 85351-3066 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030647 | Blaine Wesley Price | Physician Assistant | 796 W Jardin Dr, Casa Grande, AZ 85122-6162 | 2019-09-03 |
| 1790347292 | James M Goldhardt | Physician Assistant | 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 | 2019-07-03 |
| 1972166858 | Red Heart Surgical Assisting | Physician Assistant | 43643 W Arizona Ave, Maricopa, AZ 85138-5642 | 2019-04-17 |
| 1053898833 | Sportsmedicine Outreach Specialist | Physician Assistant | 13247 N 80th Pl, Scottsdale, AZ 85260-4903 | 2018-07-24 |
| 1912496712 | Hw Surgical Assist, Pllc | Physician Assistant | 4057 E Laurel Ave, Gilbert, AZ 85234 | 2018-05-07 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| 1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
| 1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
| 1720597214 | Merieme Khamsi | Physician Assistant | 14674 W Mountain View Blvrd #210, Surprise, AZ 85374 | 2017-09-27 |
| 1801305073 | Panduga Surgical Care, Pllc | Physician Assistant | 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 | 2017-09-20 |
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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.