DISTRICT MEDICAL GROUP INC NPI 1790018802

NPI Information

  • NPI: 1790018802
  • Provider Name: DISTRICT MEDICAL GROUP, INC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 2525 E ROOSEVELT ST
    PEDIATRIC CLINIC
    PHOENIX, AZ
    ZIP 85008
  • Phone: (602) 344-1018

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NPI Details

DISTRICT MEDICAL GROUP, INC 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. DISTRICT MEDICAL GROUP, INC NPI is 1790018802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2525 E ROOSEVELT ST
PEDIATRIC CLINIC
PHOENIX, AZ
ZIP 85008-948
Phone: (602) 344-1018

The provider's authorized official is Teresa Cordeiro .
The authorized official title is Credentialing Director and has the following contact phone number (602) 470-5000.

The enumeration date for this NPI number is 9/9/2009 and was last updated on 10/1/2014.

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
12080N0001XPediatricsNeonatal-Perinatal MedicineNo
22080P0201XPediatricsPediatric Allergy/ImmunologyNo
32080P0203XPediatricsPediatric Critical Care MedicineNo
42080P0205XPediatricsPediatric EndocrinologyNo
52080P0206XPediatricsPediatric GastroenterologyNo
62080P0207XPediatricsPediatric Hematology-OncologyNo
72080P0208XPediatricsPediatric Infectious DiseasesNo
82080P0214XPediatricsPediatric PulmonologyNo
92080P0216XPediatricsPediatric RheumatologyNo
10208000000XPediatricsYes

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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