Organization Active NPI

Pediatric Cardiac Care of Arizona

  • Specialist
  • Oro Valley, AZ
National Provider Identifier
1043686207
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25426 Issued in AZ
Legal business name
PEDIATRIC CARDIAC CARE OF ARIZONA
Practice address
200 W Magee Rd Ste 160
Oro Valley, AZ 85704-6493
Phone
(480) 755-1000
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
John Stock, MDNPI 1366467094
Title
Owner/MD
Phone
(602) 510-8081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25426 AZ Primary

Addresses

Primary practice location

200 W Magee Rd Ste 160
Oro Valley, AZ 85704-6493

Mailing address

7505 S McClintock Dr
Ste 103
Tempe, AZ 85283-5042
Phone (480) 755-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221029000255 AZ Part B Supplier - Clinic/Group Practice 0446627764 Practice locations: Tempe, AZ

National Provider Directory

National Provider Directory

Locations

200 W Magee Rd
Ste 160
Oro Valley, AZ 85704
Phone (480) 755-1000

7505 S McClintock Dr
Ste 103
Tempe, AZ 85283
Phone (480) 755-1000

2424 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 325-0192

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1043686207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 S MCCLINTOCK DR",
            "address_2": "STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835042",
            "telephone_number": "480-755-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MAGEE RD STE 160",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857046493",
            "telephone_number": "480-755-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIAC CARE OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "602-510-8081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "25426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.