VALLEY VISTA MEDICAL CENTER
NPI 1194084418
Internal Medicine in Sierra Vista, AZ

Active since May 07, 2012CLIA 03D1100401 · Waiver
157 N CORONADO DR, #C, SIERRA VISTA, AZ 85635(520) 458-0993(520) 458-4402 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Valley Vista Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALLEY VISTA MEDICAL CENTER (NPI 1194084418) is a healthcare organization registered as an internal medicine in Sierra Vista, Arizona and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Archana Bansal, Owner, as its authorized official.

NPPES Registry Identity

NPI1194084418
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVALLEY VISTA MEDICAL CENTER
Location Address157 N CORONADO DR, #CSierra Vista, AZ 85635-6360
Mailing Address157 N Coronado Dr, #cSierra Vista, AZ 85635-6360 · (520) 458-0993 · Fax (520) 458-4402
Fax(520) 458-4402
Organization SubpartNo
Authorized OfficialArchana BansalOwner · (520) 458-0993
Enumeration DateMay 7, 2012
Last NPPES UpdateNovember 13, 2012
✔ NPI 1194084418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 35263
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
157 N CORONADO DR, Sierra Vista, AZ 85635

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valley Vista Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Valley Vista Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1881663615
157 N CORONADO DR #C
Sierra Vista, AZ 85635
(520) 458-4335
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1100401

Valley Vista Medical Center · Sierra Vista, AZ
Active · expires Jun 3, 2027
CLIA Number03D1100401
Laboratory TypeOther
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorArchana Bansal
Laboratory Phone(520) 458-0993
Laboratory LocationValley Vista Medical Center157 N Coronado Dr, Ste C, Sierra Vista, AZ 85635
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valley Vista Medical Center's NPI number?

The NPI number for Valley Vista Medical Center is 1194084418. It was assigned to this organization in the NPPES registry on May 7, 2012.

Where is Valley Vista Medical Center located?

Valley Vista Medical Center is located at 157 N Coronado Dr #c, Sierra Vista, AZ 85635. The listed phone number is (520) 458-0993.

What is Valley Vista Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Valley Vista Medical Center enrolled in Medicare?

Yes. Valley Vista Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Valley Vista Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Valley Vista Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Valley Vista Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1100401) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valley Vista Medical Center was last updated on November 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.