OrganizationActive
Phoenix Va Health Care System
NPI 1790022234 · VA Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1790022234
- Entity type
- Organization
- Primary specialty
- VA Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennie Guan, Registered Dietitian(305) 277-5551
- License
- 1082914 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
Street-level locationGet directions
Mailing address
15231 N 66th Dr
Glendale, AZ 85306-3117
Registry dates
- Enumerated
- 2013-01-03
- Last updated
- 2013-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.