NPIMap

Organization Active NPI

Kidshealth Pediatrics, PLLC(Scottsdale)

  • Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1316565930
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KIDSHEALTH PEDIATRICS, PLLC(SCOTTSDALE)
Practice address
5425 E Bell Rd Ste 131
Scottsdale, AZ 85254-6010
Phone
(602) 374-3396
Fax
(602) 374-3177
NPI assigned
Jul 9, 2020
Organization subpart
Yes
Parent organization
KIDSHEALTH PEDIATRICS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Dr. Maria Louella Nabong, M.D.NPI 1275547150
Title
Physician
Phone
(602) 374-3396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary
Primary Care Clinic/Center 261QP2300X

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

National Provider Directory

National Provider Directory
Tax ID family
Kidshealth Pediatrics PLLC3 organizations share this tax ID, including this one
Part of
Kidshealth Pediatrics PLLC

Other organizations with this tax ID 2

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

Locations

5425 E Bell Rd
Ste 131
Scottsdale, AZ 85254
Phone (602) 374-3396

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1316565930",
    "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": {
        "organization_name": "KIDSHEALTH PEDIATRICS, PLLC(SCOTTSDALE)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDSHEALTH PEDIATRICS PLLC",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "NABONG",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOUELLA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-374-3396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 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.