Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1144062134 Deactivated / Inactive NPI Male Practitioner

Dylan Roger Valenzuela , MA

Dietary Manager • Mesa, AZ

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dylan Valenzuela has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 10, 2024
NPI Deactivation Date August 06, 2026
Total Practice Duration ~2 Years of Practice (2024 – 2026)

Professional Overview & Biography Verified Profile Summary

Dylan Valenzuela, MA was a registered Dietary Manager practicing in Mesa, AZ. Throughout an active medical career spanning 2 years, Dylan Valenzuela provided care at the practice location at 4121 E VALLEY AUTO DR STE 109 until profile deactivation on 2026-08-06.

Practice Location & Contact Primary Location

Practice Address

4121 E Valley Auto Dr Ste 109

Mesa, AZ 852064632

Telephone 6237155331
Associated Practice Facility / Clinic
🏢 Aurtism Llc Facility NPI 1710521802

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietary Manager in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Mesa, AZ (1 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietary Manager Primary Specialty

NUCC Taxonomy Code: 132700000X

A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated August 06, 2026

Record deactivated on August 06, 2026

NPI Profile Active June 10, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2024

Registered at 4121 E VALLEY AUTO DR STE 109, MESA, AZ 852064632 (Tel: 6237155331)

📍
Updated Business Mailing Address June 10, 2024

Registered at 500 N ROOSEVELT AVE UNIT 36, CHANDLER, AZ 852262644 (Tel: 4809013163)

👤
Provider Name / Credentials Updated June 10, 2024

Recorded as DYLAN VALENZUELA, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2024

Dietary Manager

🟢
Initial NPI Registration & Enumeration June 10, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dylan Valenzuela. Be the first to share your experience!

Sign in to leave a review for Dylan Valenzuela

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1144062134
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2024
Last Update: June 10, 2024
Deactivation Date: August 06, 2026

Mailing Address

500 N Roosevelt Ave Unit 36

Chandler, AZ 852262644

Phone: 4809013163

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.