Pediatric Adult Endocrine Gilbert

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

Legal business name

PEDIATRIC ADULT ENDOCRINE GILBERT

Practice address

2730 S Val Vista Dr
BLDG 10, Suite 161
Gilbert, AZ 85295

Phone

(480) 821-2883

Fax

(480) 237-5799

NPI assigned

Oct 20, 2016

Last updated

Jun 4, 2018By 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

Mr. Khalid Hasan, M.D.NPI 1417919085

Title

Owner

Phone

(480) 821-2883

Specialties & licenses 1

Addresses

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.

• Khalid S Hasan, M.D.

  • Pediatric Endocrinology Physician
  • Newhall, CA
  • NPI 1417919085
  NPD (past) Authorized official

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1477004935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR",
            "address_2": "BLDG 10, SUITE 161",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951675",
            "telephone_number": "480-821-2883",
            "fax_number": "480-237-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR",
            "address_2": "BLDG 10, SUITE 161",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-821-2883",
            "fax_number": "480-237-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ADULT ENDOCRINE GILBERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-821-2883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya D Pearson, PHD
• Benjamin C Peay, MOTR/L
• Haley Marie Pebler, PA-C
• Brenna Peck, LPC
• Rita Ann Peck, D.M.D.
• Pediatric Dental Associates of Arizona, PLLC
• Pediatric Dental Specialists, PPC
• Peds Smiles Group LLC (Farmville Pediatric Dentistry)
• Jeffrey Daniel Peifer, DMD
• Kali Pellegrino, FNP-C, RN

• Pediatric Endocrinology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Endocrinology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.