Individual provider Active NPI

Mary Lillian Tocyap Aquino, MD

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1336347400
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
37185 Issued in AZ
Practice address
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone
(602) 933-1000
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 37185 AZ Primary

Addresses

Primary practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Mailing address

2108 E Thomas Rd
Phoenix, AZ 85016-7761
Phone (602) 933-3124

Other practice location 1

2302 N 75th Ave
Phoenix, AZ 85035-1216
Phone (800) 233-3264

Other identifiers 1

IdentifierTypeStateIssuer
227722MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000846 AZ Practitioner - Pediatric Medicine 1355432733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37185AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Hospital Pediatrics CurrentSince Oct 20, 2024 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Jan 5, 2016 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jan 5, 2016 Accepting new patients

Locations

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

9319 E Cadence Pkwy
Mesa, AZ 85212
Phone (602) 933-3400

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400

2108 E Thomas Rd
Phoenix, AZ 85016

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

7236 S Central Ave
Phoenix, AZ 85042
Phone (602) 276-5565

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

16635 N 43rd Ave
Phoenix, AZ 85053
Phone (602) 843-7900

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

433 W Broadway Rd
Tempe, AZ 85282
Phone (480) 968-7835

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1336347400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167761",
            "telephone_number": "602-933-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 N 75th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850351216",
            "country_code": "US",
            "telephone_number": "800-233-3264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOCYAP AQUINO",
        "first_name": "MARY",
        "middle_name": "LILLIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "37185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227722",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.