Organization Active NPI

Paradise Pediatrics

  • Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1063558153
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PARADISE PEDIATRICS
Practice address
4848 E Cactus Rd
#620
Scottsdale, AZ 85254-4163
Phone
(602) 386-2135
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Patricia Ann Slansky, OM
Title
Office Manager
Phone
(602) 386-2135

Specialties & licenses 1

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

Addresses

Primary practice location

4848 E Cactus Rd
#620
Scottsdale, AZ 85254-4163

Mailing address

4848 E Cactus Rd
#620
Scottsdale, AZ 85254-4163
Phone (602) 386-2135

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
03D0667429Phoenix Children'S Pediatrics - Paradise Valley4848 E Cactus Rd #620, Scottsdale, AZ 85254Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1063558153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD",
            "address_2": "#620",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544163",
            "telephone_number": "602-386-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD",
            "address_2": "#620",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544163",
            "telephone_number": "602-386-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "SLANSKY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-386-2135",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.