Jose Angel Valdivia, PA-C

Physician Assistant, Surgical in Sun City, AZ. Individual provider (NPI-1).

NPI number1053461285

StatusActive

Last updated in NPPESFeb 14, 2011

Details

NPI: 1053461285
Entity type: Individual (NPI-1)
Name: Jose Angel Valdivia
Credential: PA-C
Sex: Male
Sole proprietor: No
Enumeration date: Jan 11, 2007
Last updated: Feb 14, 2011

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363AS0400X	Physician Assistant, Surgical	2145	AZ	Yes

Practice location

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004

Phone 623-876-5366 · Fax 866-552-8029

Mailing address

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004

Phone 623-876-5366 · Fax 866-552-8029

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgical Physician Assistant providers in Sun City, AZ

All 11 Surgical Physician Assistant providers in Sun City · All 1,247 providers in Sun City

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