Active NPI
Maria Louella Nabong, M.D.
- Pediatrics Physician
- Scottsdale, AZ
National Provider Identifier
1275547150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 31582
- Practice address
- 5425 E Bell Rd Ste 131
Scottsdale, AZ 85254-6010 - Phone
- (602) 374-3396
- Fax
- (602) 374-3177
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 31582 | AZ | Primary |
Addresses
Primary practice location
5425 E Bell Rd Ste 131
Scottsdale, AZ 85254-6010
Mailing address
5425 E Bell Rd Ste 131
Scottsdale, AZ 85254-6010
Phone (602) 374-3396
Other names 1
- Maria L. Mariano-Nabong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31582 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidshealth Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Scottsdale, AZ
- NPI 1508931593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1275547150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 E BELL RD STE 131",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852546010",
"telephone_number": "602-374-3396",
"fax_number": "602-374-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 E BELL RD STE 131",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852546010",
"telephone_number": "602-374-3396",
"fax_number": "602-374-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABONG",
"first_name": "MARIA",
"middle_name": "LOUELLA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "31582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "MARIANO-NABONG",
"middle_name": "L.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.