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ANGELS VALLEY COMMUNITY HEALTHCARE CENTER PLLC
NPI 1689303117
Physician Assistant in Phoenix, AZ

Active since June 09, 2022
14820 N CAVE CREEK RD STE 2, PHOENIX, AZ 85032(833) 242-0100 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2026, Sep 21, 2024, Jun 9, 2022 (3 updates tracked since 2022).

About Angels Valley Community Healthcare Center Pllc NPPES

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

ANGELS VALLEY COMMUNITY HEALTHCARE CENTER PLLC (NPI 1689303117) is a healthcare organization registered as a physician assistant in Phoenix, Arizona and active in the NPI registry since June 2022. The organization maintains a secondary practice location in Phoenix and lists Jean Simon Joel Edouard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689303117
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameANGELS VALLEY COMMUNITY HEALTHCARE CENTER PLLC
Location Address14820 N CAVE CREEK RD STE 2Phoenix, AZ 85032-4951
Mailing Address14820 N Cave Creek Rd Ste 2Phoenix, AZ 85032-4951 · (833) 599-6507 · Fax (480) 535-5548
Phone(833) 242-0100
Organization SubpartNo
Authorized OfficialJean Simon Joel EdouardCeo · (520) 527-8038
Enumeration DateJune 9, 2022
Last NPPES UpdateJanuary 6, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1689303117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
14820 N CAVE CREEK RD STE 2, Phoenix, AZ 85032
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Secondary Practice Location 1

Location 13333 W Thunderbird Rd Apt 2069Phoenix, AZ 85053-8603 · Phone (520) 527-8038 · Fax (623) 889-0814

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Angels Valley Community Healthcare Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Angels Valley Community Healthcare Center PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner19
Podiatry3
Family Practice2
Cardiovascular Disease (Cardiology)1
Clinical Psychologist1
General Practice1
Internal Medicine1

Nearest to this location (20)

See all 28
Richard Wall, M.D.
Family Practice
NPI 1811971393
19841 N 27TH AVE STE. 101
Phoenix, AZ 85027
(602) 942-8512
✔ PECOS✔ Accepts Medicare5.8 mi
Carlos Rivera, FNP-BC
Nurse Practitioner
NPI 1265738942
24 W CAMELBACK RD STE A262
Phoenix, AZ 85013
(623) 377-2747
✔ PECOS✔ Accepts Medicare8.1 mi
Farhana Afrin, NP
Nurse Practitioner
NPI 1730839903
7014 E CAMELBACK RD STE B100-89
Scottsdale, AZ 85251
(480) 703-2270
✔ PECOS✔ Accepts Medicare10 mi
Kristen Murray, D.P.M.
Podiatry
NPI 1528346145
6739 W CACTUS RD
Peoria, AZ 85381
(833) 242-0100
✔ PECOS✔ Accepts Medicare10 mi
Kevin Broaddrick, DPM
Podiatry
NPI 1639188394
6739 W CACTUS RD
Peoria, AZ 85381
(833) 242-0100
✔ PECOS10 mi
Juvi Lindsey, APN
Nurse Practitioner
NPI 1164939674
6739 W CACTUS RD
Peoria, AZ 85381
(833) 242-0100
✔ PECOS10 mi
Geoffrey Medida, FNP-C
Nurse Practitioner
NPI 1659080067
6739 W CACTUS RD
Peoria, AZ 85381
(833) 242-0100
✔ PECOS10 mi
Carlos Montes Domini, M.D.
General Practice
NPI 1528043429
6739 W CACTUS RD
Peoria, AZ 85381
(623) 562-0015
✔ PECOS✔ Accepts Medicare10 mi
Leo Munoz
Clinical Psychologist
NPI 1407989916
6739 W CACTUS RD
Peoria, AZ 85381
(833) 242-0100
✔ PECOS✔ Accepts Medicare10 mi
Daniel Kiddy, DPM
Podiatry
NPI 1144214529
PO BOX 755
Scottsdale, AZ 85252
(833) 242-0100
✔ PECOS✔ Accepts Medicare10 mi
Yvon Mukunzi, MSN, PMHNP-BC
Nurse Practitioner
NPI 1699537696
7155 W CAMPO BELLO DR STE C120
Glendale, AZ 85308
(602) 363-0629
✔ PECOS11 mi
Rebecca Schoenherr, APNP
Nurse Practitioner
NPI 1255582359
9435 W PEORIA AVE
Peoria, AZ 85345
(623) 583-4848
✔ PECOS✔ Accepts Medicare14 mi
Emetu Onuma
Nurse Practitioner
NPI 1003424771
2745 W JESSICA LN
Phoenix, AZ 85041
(480) 200-7688
✔ PECOS17 mi
James Maigua, PMHNP-BC
Nurse Practitioner
NPI 1912614611
8222 S 48TH ST STE 120
Phoenix, AZ 85044
(480) 434-3251
✔ PECOS✔ Accepts Medicare17 mi
Theressa Miller, FNP-C
Nurse Practitioner
NPI 1023767340
12513 W READE AVE
Litchfield Park, AZ 85340
(480) 294-2058
✔ PECOS✔ Accepts Medicare19 mi
Mahriana Siner, N.P.
Nurse Practitioner
NPI 1467995845
14674 W MOUNTAIN VIEW BLVD STE 100
Surprise, AZ 85374
(623) 600-2406
✔ PECOS✔ Accepts Medicare20 mi
Bradley Hughes, M.D.
Family Practice
NPI 1821318262
14780 W MOUNTAIN VIEW BLVD SUITE 110
Surprise, AZ 85374
(623) 374-7774
✔ PECOS✔ Accepts Medicare20 mi
Dien Do, NP
Nurse Practitioner
NPI 1609326289
6553 E BAYWOOD AVE STE 201
Mesa, AZ 85206
(480) 467-2273
✔ PECOS✔ Accepts Medicare25 mi
Adebukola Aladesanmi, DNP
Nurse Practitioner
NPI 1568179877
4951 S HUDSON PL
Chandler, AZ 85249
(423) 619-5364
✔ PECOS✔ Accepts Medicare29 mi
Matilda Boachie, PMHNP
Nurse Practitioner
NPI 1306571468
316 W PINNACLE RIDGE DR
San Tan Valley, AZ 85140
(860) 967-2388
✔ PECOS✔ Accepts Medicare38 mi
See all 28 clinicians

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

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 Angels Valley Community Healthcare Center PLLC's NPI number?

The NPI number for Angels Valley Community Healthcare Center PLLC is 1689303117. It was assigned to this organization in the NPPES registry on June 9, 2022.

Where is Angels Valley Community Healthcare Center PLLC located?

Angels Valley Community Healthcare Center PLLC is located at 14820 N Cave Creek Rd Ste 2, Phoenix, AZ 85032. The listed phone number is (833) 242-0100.

What is Angels Valley Community Healthcare Center PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Angels Valley Community Healthcare Center PLLC enrolled in Medicare?

Yes. Angels Valley Community Healthcare Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angels Valley Community Healthcare Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 7 Medicare specialties reassign their Medicare billing to Angels Valley Community Healthcare Center PLLC. 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. The largest specialties are Nurse Practitioner (19), Podiatry (3) and Family Practice (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Angels Valley Community Healthcare Center PLLC was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.