MANNY DELUCCA M.D. NPI 1740280882

NPI Information

NPI: 1740280882
Provider Name: MANNY DELUCCA, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
26224 N TATUM BLVD
SUITE 1
PHOENIX, AZ
ZIP 85050
Phone: (480) 563-1111
Get Directions

Manny Delucca, M.D. is a pediatrics in Phoenix, AZ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Manny Delucca, M.D. NPI is 1740280882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26224 N TATUM BLVD
SUITE 1
PHOENIX, AZ
ZIP 85050-500
Phone: (480) 563-1111
Fax: (480) 563-3044

The enumeration date for this NPI number is 7/29/2005 and was last updated on 3/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		27388	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5225829	OTHER		CCN
2	1Z9385	OTHER		HEALTHNET
3	1229050	OTHER		FIRST HEALTH
4	484527001	MEDICAID	ARIZONA
5	210610	OTHER		MAYO
6	12-00497	OTHER		UNITED HEALTHCARE
7	AZ0770330	OTHER		BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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