Kidshealth Pediatrics PLLC(Glendale)

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDSHEALTH PEDIATRICS PLLC(GLENDALE)

Practice address

5750 W Thunderbird Rd Ste F620
Glendale, AZ 85306-4690

Phone

(602) 374-3396

NPI assigned

Jul 7, 2020

Organization subpart

Yes

Parent organization

KIDSHEALTH PEDIATRICS, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Maria Louella Nabong, MD

Title

Physician/Owner

Phone

(602) 374-3396

Specialties & licenses 1

Addresses

Other names 1

• Kidshealth Pediatrics, PLLC(Glendale) Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Kidshealth Pediatrics PLLC

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1508931593
  NPD tax ID
• Kidshealth Pediatrics, PLLC(Scottsdale)

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1316565930
  NPD tax ID

Locations

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.

• Kidshealth Pediatrics PLLC

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1508931593
  NPPES parent name

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1336767342",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD RD STE F620",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064690",
            "telephone_number": "602-374-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSHEALTH PEDIATRICS PLLC(GLENDALE)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDSHEALTH PEDIATRICS, PLLC",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "NABONG",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOUELLA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "602-374-3396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidshealth Pediatrics, PLLC(Glendale)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sanjeev Khurana, MD
• Sukhdeep Singh Khurana
• Kick Start Integrative Health PLLC
• Kidfinity PC
• Kids Possible Therapy L.L.C.
• Alison Marie Kiefer, RD
• Christine R Kielb, D.M.D
• Melissa Kieu
• Nancy Ann Kijewski
• Sue Kilgore

• Pediatrics Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.