AZ PEDIATRIC CARE NPI 1083783724

NPI Information

  • NPI: 1083783724
  • Provider Name: AZ PEDIATRIC CARE
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 03D1089883
  • Address: 9305 W THOMAS RD STE 410
    PHOENIX, AZ
    ZIP 85037
  • Phone: (602) 471-6521

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NPI Details

AZ PEDIATRIC CARE is a primary care clinic center in Phoenix, AZ. AZ PEDIATRIC CARE NPI is 1083783724. The provider is registered as an organization entity type.

The provider's business location address is:

9305 W THOMAS RD STE 410
PHOENIX, AZ
ZIP 85037-369
Phone: (602) 471-6521

The provider's authorized official is Bernardo O Tan .
The authorized official title is Physician and has the following contact phone number (602) 471-6521.

The CLIA number assigned to this NPI record is 03D1089883 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 1/11/2011.

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
1261QP2300XClinic/CenterPrimary Care32141ARIZONAYes

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: 11/21/2025

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