Pediatric Perfusion Specialists, LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

PEDIATRIC PERFUSION SPECIALISTS, LLC

Practice address

8121 N 18TH Way
Phoenix, AZ 85020-3965

Phone

(602) 513-9568

NPI assigned

Aug 18, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steve Valletta

Title

Manager

Phone

(480) 777-0607

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Valletta, C.C.P

  • Surgical Technologist
  • Phoenix, AZ
  • NPI 1326066697
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205828894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 S MCCLINTOCK DR",
            "address_2": "SUITE 110",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852836002",
            "telephone_number": "480-777-0607",
            "fax_number": "480-777-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 N 18TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203965",
            "telephone_number": "602-513-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PERFUSION SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALLETTA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-777-0607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates PC
• Pediatric Critical Care of Arizona LTD
• Pediatric Group Specialists, LTD. (Pediatrix)
• Pediatric Hematology Oncology Associates, P.C.
• Pediatric Hospitalists of Arizona, P.C.
• Pediatric Urology Associates, LTD.
• Pediatrics & Family Kare PLLC
• Pediatrics Kare LLC
• Eric L Pedicini, DO
• Jaclyn Pedini

• Surgical Technologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgical Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.