Sunrise Pediatrics, PLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34629 Issued in AZ

Legal business name

SUNRISE PEDIATRICS, PLC

Practice address

4100 S Lindsay Rd
Ste # 126
Gilbert, AZ 85297-1506

Phone

(480) 892-3500

Fax

(480) 664-3632

NPI assigned

Aug 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sanjay J Shah, M.D.

Title

Manager

Phone

(480) 892-3500

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 1

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

• Sonal S Shah, MD

  • Pediatrics Physician
  • Gilbert, AZ
  • NPI 1043367709
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1144452079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S LINDSAY RD",
            "address_2": "STE # 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971506",
            "telephone_number": "480-892-3500",
            "fax_number": "480-664-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S LINDSAY RD",
            "address_2": "STE # 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971506",
            "telephone_number": "480-892-3500",
            "fax_number": "480-664-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PEDIATRICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-892-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "34629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Noelle Sun
• Sundance Medical Associates PLLC
• Sunny Days Pediatric Therapy
• Christy Sunny, MD
• Sunrise of Gilbert
• Sunrise Professional Counseling & Consultation, PLLC
• Sunrise Urology PC
• Sunset Grand Assisted Living, LLC
• Superstition Medical Group LLC
• Sure Hands Behavioral Health Inc.

• Pediatrics Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.