SUN VALLEY AFFILIATED BACK CENTER INC (NPI# 1215940614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215940614 |
| Entity Type | Organization |
| Organization Name | SUN VALLEY AFFILIATED BACK CENTER INC |
| Practice Address |
1534 E Ray Rd Suite 103 Gilbert AZ 85296-4429 |
| Mailing Address |
2934 E Hale St Mesa AZ 85213-5592 |
| Practice Telephone | 4809633608 |
| Practice Fax Number | 4808555756 |
| Mailing Telephone | 6027694982 |
| Mailing Fax Number | 4808555756 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TERRY LYNN GRAUL (DIRECTOR) |
| Authorized Official Telephone | 4809633608 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
AP1086 | AZ | Ambulatory Health Care Facilities |
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP1086 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1534 E RAY RD SUITE 103 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144280975 | Morris Mckinley Oswald | Dentist | 1534 E Ray Rd, Gilbert, AZ 85296-4429 | 2006-03-24 |
| 1811128614 | Michael W Simon | Physical Therapist | 1534 E Ray Rd, Suite 104, Gilbert, AZ 85296-4429 | 2009-07-28 |
| 1215106497 | Matthew D Jones | Dentist | 1534 E Ray Rd, Suite #119, Gilbert, AZ 85296-4429 | 2008-02-21 |
| 1093851693 | Craig A Blankinship | Specialist | 1534 E Ray Rd, Suite 104, Gilbert, AZ 85296-4429 | 2007-01-30 |
| 1639100563 | Christopher K Young | Physical Therapist | 1534 E Ray Rd, Suite 104, Gilbert, AZ 85296-4429 | 2006-07-06 |
| 1669408472 | Brett Michael Quackenbush | Dentist | 1534 E Ray Rd, #121, Gilbert, AZ 85296-4429 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083120422 | Azdc Chiropractic LLC | Clinic/Center | 158 W Leah Ct, Gilbert, AZ 85233-2113 | 2017-12-21 |
| 1003273822 | Maternal Fetal Medicine and Genetics Plc | Clinic/Center | 1772 E. Boston Street, Suite 107, Gilbert, AZ 85295-6243 | 2016-01-25 |
| 1578872180 | Living Our Dreams LLC | Clinic/Center | 2557 S Val Vista Dr Ste 101, Gilbert, AZ 85295-6230 | 2010-09-29 |
| 1053825364 | Wellness 1st Integrative Medical Center, LLC | Clinic/Center | 2451 E Baseline Rd Ste 100, Gilbert, AZ 85234 | 2017-11-22 |
| 1538603279 | San Tan Perinatal | Clinic/Center | 3815 S Val Vista Dr, Suite 102, Gilbert, AZ 85297-7308 | 2016-12-15 |
| 1275974149 | Advanced Plastic Surgery Institute, Pllc | Clinic/Center | 1482 E Williams Field Rd, B101, Gilbert, AZ 85295-1816 | 2013-07-08 |
| 1558552554 | Gary T. Nagamoto, M.d., P.C. | Clinic/Center | 2450 E Guadalupe Rd, Suite 103, Gilbert, AZ 85234-5116 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578179735 | Az Neurosurgery & Spine, Pllc | Clinic/Center | 371 Garden St # A-27, Prescott, AZ 86305-2914 | 2020-09-22 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1073133583 | American Medical Center P.C. | Clinic/Center | 8417 E Mcdowell Rd Ste 101, Scottsdale, AZ 85257-3917 | 2020-04-24 |
| 1649809039 | Orthopedic Specialists of North America Pllc | Clinic/Center | 16838 E Palisades Blvd Ste C152, Fountain Hills, AZ 85268-3790 | 2020-04-07 |
| 1790319564 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 6145 W Chandler Blvd Ste 3, Chandler, AZ 85226-3425 | 2020-03-02 |
| 1932733714 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 13613 W Camino Del Sol Ste 1, Sun City West, AZ 85375-4480 | 2020-03-02 |
| 1083248850 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2755 Silver Creek Rd Ste 205, Bullhead City, AZ 86442-8347 | 2020-03-02 |
| 1508490376 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2116 N Stockton Hill Rd Ste F, Kingman, AZ 86401-4600 | 2020-03-02 |
| 1629546130 | Josh Vella, M.d., Pllc | Clinic/Center | 3200 E Camelback Rd Ste 180, Phoenix, AZ 85018-2326 | 2018-11-02 |
| 1366919714 | Bianca J Vazquez Md Pllc | Clinic/Center | 10250 N 92nd St Ste 205, Scottsdale, AZ 85258-4519 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUN VALLEY AFFILIATED BACK CENTER INC.
| 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.