Active NPI
Bright Horizons Pediatrics PC
- Pediatrics Physician
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 31440
- Legal business name
- BRIGHT HORIZONS PEDIATRICS PC
- Practice address
- 14780 W Mountain View Blvd
Ste 201
Surprise, AZ 85374-4799 - Phone
- (623) 584-5250
- Fax
- (623) 584-4587
- NPI assigned
- Aug 9, 2007
- 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
- Mario S. Borlongan Jr., M.D.
- Title
- Owner/Physician
- Phone
- (623) 584-5250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 31440 | AZ | Primary |
Addresses
Primary practice location
14780 W Mountain View Blvd
Ste 201
Surprise, AZ 85374-4799
Mailing address
9524 W Camelback Rd
Ste. 130-381
Glendale, AZ 85305-3104
Phone (623) 584-5250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334950 | Medicaid | AZ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1073081 | Bright Horizons Pediatrics | Certificate of waiver | Aug 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
9524 W Camelback Rd
Ste 130381
Glendale, AZ 85305
14780 W Mountain View Blvd
Ste 201
Surprise, AZ 85374
Phone (623) 584-5250
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Surprise, AZ
- NPI 1841269206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395360000000",
"number": "1376735738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9524 W CAMELBACK RD",
"address_2": "STE. 130-381",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853053104",
"telephone_number": "623-584-5250",
"fax_number": "623-584-4587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14780 W MOUNTAIN VIEW BLVD",
"address_2": "STE 201",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853744799",
"telephone_number": "623-584-5250",
"fax_number": "623-584-4587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT HORIZONS PEDIATRICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-09",
"last_updated": "2014-03-21",
"status": "A",
"authorized_official_last_name": "BORLONGAN",
"authorized_official_first_name": "MARIO",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "623-584-5250",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "AZ",
"license": "31440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "334950",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.