NPIMap

Organization Active NPI

Arizona Pediatric PLLC

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1174913826
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33537 Issued in AZ
Legal business name
ARIZONA PEDIATRIC PLLC
Practice address
22 E Mitchell Dr
Phoenix, AZ 85012-2340
Phone
(602) 277-5731
NPI assigned
Feb 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Dr. Wendy R Saucedo, MD
Title
Owner
Phone
(602) 277-5731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 33537 AZ Primary

Addresses

Primary practice location

22 E Mitchell Dr
Phoenix, AZ 85012-2340

Mailing address

22 E Mitchell Dr
Phoenix, AZ 85012-2340
Phone (602) 277-5731

National Provider Directory

National Provider Directory
Tax ID family
Arizona Pediatric PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1174913826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E MITCHELL DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122340",
            "telephone_number": "602-277-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E MITCHELL DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122340",
            "telephone_number": "602-277-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PEDIATRIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-277-5731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "33537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 3, 2015; 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.