NPIMap

Organization Active NPI

Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Peoria, AZ
National Provider Identifier
1356859128
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34320 Issued in AZ
Legal business name
PLEASANT PEDIATRICS PLC
Practice address
10180 W Happy Valley Pkwy
Peoria, AZ 85383-1389
Phone
(623) 322-3380
NPI assigned
Jan 16, 2018
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PLEASANT PEDIATRICS PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Prasad Ravi
Title
Practice Manager
Phone
(623) 322-3380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34320 AZ Primary

Addresses

Primary practice location

10180 W Happy Valley Pkwy
Peoria, AZ 85383-1389

Mailing address

9059 W Lake Pleasant Pkwy Ste E540
Peoria, AZ 85382-8396
Phone (623) 322-3380

Other identifiers 1

IdentifierTypeStateIssuer
645732MedicaidAZ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2142604Pleasant Pediatrics10180 W Happy Valley Pkwy, Peoria, AZ 85383Certificate of waiverJan 15, 2028

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Pediatrics22 organizations share this tax ID, including this one
Part of
Pleasant Pediatrics

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1356859128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY STE E540",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828396",
            "telephone_number": "623-322-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 W HAPPY VALLEY PKWY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831389",
            "telephone_number": "623-322-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT PEDIATRICS PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLEASANT PEDIATRICS PLC",
        "enumeration_date": "2018-01-16",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "623-322-3380"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "34320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "645732",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.