East Mesa Pediatrics, Inc

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

34309 Issued in AZ

Legal business name

EAST MESA PEDIATRICS, INC

Practice address

6142 E Brown Rd
#102
Mesa, AZ 85205-4962

Phone

(480) 396-2087

Fax

(480) 396-3973

NPI assigned

Dec 26, 2007

Last updated

Jul 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kojasteh M Ghaziaskar, MDNPI 1881663441

Title

Owner

Phone

(480) 396-2087

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kojasteh Mahsa Ghaziaskar, MD

  • Pediatrics Physician
  • Mesa, AZ
  • NPI 1881663441
  Authorized official Same address or phone

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1447434592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 E BROWN RD",
            "address_2": "#102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054962",
            "telephone_number": "480-396-2087",
            "fax_number": "480-396-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6142 E BROWN RD",
            "address_2": "#102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054962",
            "telephone_number": "480-396-2087",
            "fax_number": "480-396-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MESA PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "GHAZIASKAR",
        "authorized_official_first_name": "KOJASTEH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-396-2087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "34309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "964149",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie M Earle P.a., PA
• Darcy Rae Easley
• East Mesa Dental Partners, LLP
• East Mesa Family Doctors PLLC
• East Mesa Medical Center (Dignity Health Arizona General Hospital Emergency Room)
• East Mesa Physical Therapy and Rehab Specialists
• East Southern Medical Group, LLC
• East Valley Adult Resources
• East Valley ASC LLC
• East Valley Bone and Joint PLLC

• Pediatric Adolescent Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatric Adolescent Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.