Active NPI
Cedar Ridge Rheumatology PLLC
- Medical Specialty Clinic/Center
- Lakeside, AZ
National Provider Identifier
1306766274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- CEDAR RIDGE RHEUMATOLOGY PLLC
- Practice address
- 1355 W White Mountain Blvd Ste a
Lakeside, AZ 85929-7068 - Phone
- (928) 358-5200
- Fax
- (928) 358-5170
- NPI assigned
- Jul 20, 2026
- Last updated
- Aug 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Pace, PA
- Title
- Owner
- Phone
- (210) 632-2807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | NU | Primary |
Addresses
Primary practice location
1355 W White Mountain Blvd Ste a
Lakeside, AZ 85929-7068
Mailing address
1355 W White Mountain Blvd Ste a
Lakeside, AZ 85929-7068
Phone (480) 440-8696
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1306766274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 W WHITE MOUNTAIN BLVD STE A",
"city": "LAKESIDE",
"state": "AZ",
"postal_code": "859297068",
"telephone_number": "480-440-8696",
"fax_number": "928-358-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 W WHITE MOUNTAIN BLVD STE A",
"city": "LAKESIDE",
"state": "AZ",
"postal_code": "859297068",
"telephone_number": "928-358-5200",
"fax_number": "928-358-5170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR RIDGE RHEUMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-20",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "PACE",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-632-2807",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeside, AZ
- Blue Ridge School District No. 32
- Bornstein Medical PLLC
- Ian Kay Brimhall, DO
- Sarah Burnett
- Cardinal Anesthesia, PLLC
- Changepoint Crisis Unit
- Changepoint Integrated Health (ChangePoint Psychiatric Hospital)
- Changepoint Integrated Health (ChangePoint Integrated Health-CSU)
- Irene Elizabeth Chappelle, L.AC
- Compass Mental Health & Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.