Angels Valley Concierge Healthcare Center PLLC
NPI 1932066552ActiveOrganization· Physician Assistant· Phoenix, AZ
Physician Assistant in Phoenix, Arizona, registered in NPPES in January 2026. The authorized official on file is Jean Simon Joel Edouard, PA, SA-C, Owner.
Overview
| NPI | 1932066552 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2026 |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physician Assistant providers in Phoenix
- 1962148791
- 1689303117
- 1952123408
- 1679738835
- 1538275797
- 1477379964
- 1497289052
- 1144894395
- 1831835933
- 1124416375
- 1306125620
- 1649959792