NPIMap

Organization Active NPI

Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Glendale, AZ
National Provider Identifier
1467032649
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PLEASANT PEDIATRICS PLC
Practice address
6666 W Peoria Ave Ste 111
Glendale, AZ 85302-7015
Phone
(623) 322-3380
Fax
(623) 322-4399
NPI assigned
Apr 12, 2021
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PLEASANT PEDIATRICS PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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 NU Primary

Addresses

Primary practice location

6666 W Peoria Ave Ste 111
Glendale, AZ 85302-7015

Mailing address

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

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
03D2213438Pleasant Pediatrics6666 W Peoria Ave Ste 111, Glendale, AZ 85302Certificate of waiverFeb 11, 2027

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

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1467032649",
    "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": "6666 W PEORIA AVE STE 111",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853027015",
            "telephone_number": "623-322-3380",
            "fax_number": "623-322-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT PEDIATRICS PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLEASANT PEDIATRICS PLC",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-12-15",
        "certification_date": "2021-09-03",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

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