NPIMap

Organization Active NPI

Pleasant Pediatrics PLC

Doing business as Pleasant Pediatrics

  • Pediatrics Physician
  • Youngtown, AZ
National Provider Identifier
1013323591
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34320 Issued in AZ
Legal business name
PLEASANT PEDIATRICS PLC
Doing business as
Pleasant Pediatrics
Practice address
12030 N 113TH Ave
Youngtown, AZ 85363-1241
Phone
(623) 322-3380
NPI assigned
Jul 7, 2014
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sandhya Ravi, MDNPI 1093701286
Title
Owner
Phone
(623) 322-3380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 34320 AZ Primary

Addresses

Primary practice location

12030 N 113TH Ave
Youngtown, AZ 85363-1241

Mailing address

9059 W Lake Pleasant Pkwy Ste E540
Suite E540
Peoria, AZ 85382-8396
Phone (623) 322-3380

Other names 1

  • Pleasant Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2080545Pleasant Pediatrics PLC12030 N 113TH Avenue, Youngtown, AZ 85363Certificate of waiverJul 8, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Pediatrics22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

12030 N 113th Ave
Youngtown, AZ 85363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1013323591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY STE E540",
            "address_2": "SUITE E540",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828396",
            "telephone_number": "623-322-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 N 113TH AVE",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631241",
            "telephone_number": "623-322-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT PEDIATRICS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-322-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "34320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngtown, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.