Angels Valley Community Healthcare Center PLLC
NPI 1689303117ActiveOrganization· Physician Assistant· Phoenix, AZ
Physician Assistant in Phoenix, Arizona, registered in NPPES in June 2022. The authorized official on file is Jean Simon Joel Edouard, PA, SA-C, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689303117 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2022 |
| Last updated in NPPES | Jan 6, 2026 |
| Certified by provider | Jan 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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