Angels Valley Legs Care Center PLLC
NPI 1245979129ActiveOrganization· Physician Assistant, Surgical· Phoenix, AZ
Physician Assistant, Surgical in Phoenix, Arizona, registered in NPPES in May 2022. The authorized official on file is Jean Simon Joel Edouard, Pa, Sa-C.
Overview
| NPI | 1245979129 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2022 |
| Last updated in NPPES | May 31, 2022 |
| Certified by provider | May 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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