Az Pediatric Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

32141 Issued in AZ

Legal business name

AZ PEDIATRIC CARE

Practice address

9305 W Thomas Rd Ste 410
Phoenix, AZ 85037-3369

Phone

(602) 471-6521

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bernardo O Tan Jr., MDNPI 1790742047

Title

Physician

Phone

(602) 471-6521

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Bernardo O Tan Jr., M.D.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1790742047
  NPD (past) Authorized official
• Vanessa Breguez Mitchell, PA

  • Medical Physician Assistant
  • Gilbert, AZ
  • NPI 1326597444
  NPD (past)
• Dinna Rosenthal, MD

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1093811952
  NPD (past)
• Truong Vo

  • Physician Assistant
  • Mesa, AZ
  • NPI 1366136582
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1083783724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 E WAGONER RD",
            "address_2": "SCOTTSDALE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547635",
            "telephone_number": "602-471-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 410",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373369",
            "telephone_number": "602-471-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ PEDIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-471-6521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "32141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Az Pain Consultants LLC
• Az Pain Medicine Clinic, LLC.
• Az Pain Solutions LLC
• Az Pain Specialists, LLC
• Az PCT on the Go LLC (Victoria cody)
• Az Pharmacy, LLC (Amazon Pharmacy #002)
• Az Premier House Call Dentistry PLLC
• Az Premier Mobile Providers
• Az Pro Billing LLC
• Az Psychiatric Associates, PLLC

• Primary Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.