NPIMap

Organization Active NPI

Havasu Rainbow Pediatrics

  • Clinic/Center
  • Lake Havasu City, AZ
National Provider Identifier
1437340098
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HAVASU RAINBOW PEDIATRICS
Practice address
1980 Mesquite Ave Ste 101
Lake Havasu City, AZ 86403-7713
Phone
(928) 680-1919
Fax
(928) 680-0488
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Maria B Oyas
Title
Administrator
Phone
(928) 680-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AZ Primary

Addresses

Primary practice location

1980 Mesquite Ave Ste 101
Lake Havasu City, AZ 86403-7713

Mailing address

1980 Mesquite Ave Ste 101
Lake Havasu City, AZ 86403-7713
Phone (928) 680-1919

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
03D0923274Havasu Rainbow Pediatrics PC1980 Mesquite Ave Ste 101, Lake Havasu, AZ 86403Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory

Locations

1980 Mesquite Ave
Ste 101
Lake Havasu City, AZ 86403
Phone (928) 680-1919

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437340098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 MESQUITE AVE STE 101",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864037713",
            "telephone_number": "928-680-1919",
            "fax_number": "928-680-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 MESQUITE AVE STE 101",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864037713",
            "telephone_number": "928-680-1919",
            "fax_number": "928-680-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVASU RAINBOW PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OYAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-680-1919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.