Desert Valley Plastic Surgery PLLC
NPI 1629682190ActiveOrganization· Plastic Surgery· Phoenix, AZ
Plastic Surgery in Phoenix, Arizona, registered in NPPES in September 2020. The authorized official on file is Genaro Francisco Valladolid, MD, Member Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629682190 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 2, 2020 |
| Last updated in NPPES | Sep 2, 2020 |
| Certified by provider | Sep 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
Other Plastic Surgery providers in Phoenix
- 1275171993
- 1437691763
- 1538685714
- 1003803255
- 1700041381
- 1679872303
- 1487101325
- 1982087441
- 1538646302
- 1407346851
- 1417139031
- 1942700984