{
"Npi": {
"NPI": "1851889232",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VALENZUELA",
"FirstName": "ANDREW",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2942 N 24TH ST.",
"SecondLineMailingAddress": "STE 115, PMB 293290",
"MailingAddressCityName": "PHOENIX",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85016",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-585-2580",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5310 W THUNDERBIRD RD STE 301",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GLENDALE",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85306-4710",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-412-6430",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/01/2018",
"LastUpdateDate": "10/20/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "2083B0002X",
"TaxonomyName": "Obesity Medicine (Preventive Medicine) Physician",
"LicenseNumber": "67387",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207RS0012X",
"TaxonomyName": "Sleep Medicine (Internal Medicine) Physician",
"LicenseNumber": "67387",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "207RS0012X",
"TaxonomyName": "Sleep Medicine (Internal Medicine) Physician",
"LicenseNumber": "T1590",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "BP10063724",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2080B0002X",
"TaxonomyName": "Pediatric Obesity Medicine Physician",
"LicenseNumber": "67387",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2080S0012X",
"TaxonomyName": "Pediatric Sleep Medicine Physician",
"LicenseNumber": "T1590",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}