Organization Active NPI

Lizzette Pagan PLLC

  • Pediatric Adolescent Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1134473515
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
27253 Issued in AZ
Legal business name
LIZZETTE PAGAN PLLC
Practice address
1823 E McDowell Rd
Phoenix, AZ 85006-3052
Phone
(602) 716-5700
Fax
(602) 716-5842
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Lizzette Pagan, MDNPI 1467444166
Title
Owner
Phone
(602) 716-5700

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 27253 AZ Primary

Addresses

Primary practice location

1823 E McDowell Rd
Phoenix, AZ 85006-3052

Mailing address

1823 E McDowell Rd
Phoenix, AZ 85006-3052
Phone (602) 716-5700

Other names 1

  • My Pediatric Place Other name

National Provider Directory

National Provider Directory

Locations

1823 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 716-5700

Practitioners & affiliated clinicians

Practitioners 2

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": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1134473515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063052",
            "telephone_number": "602-716-5700",
            "fax_number": "602-716-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063052",
            "telephone_number": "602-716-5700",
            "fax_number": "602-716-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZZETTE PAGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "LIZZETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-716-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "27253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Pediatric Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.