Pediatric Sedation of Arizona

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PEDIATRIC SEDATION OF ARIZONA

Practice address

20100 N 51St Ave Ste B220
Glendale, AZ 85308-5145

Phone

(602) 345-1633

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Rahul Bhatia, MD

Title

MD

Phone

(602) 345-1633

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1588270730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD STE C200272",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283068",
            "telephone_number": "602-456-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE STE B220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085145",
            "telephone_number": "602-345-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SEDATION OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "602-345-1633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Glendale",
            "affiliation": "N",
            "address_1": "20100 N 51st Ave Ste B220",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853085145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelina C Pecak, OTR
• Shubhangi Shahaji Peche, M.D.
• Alyssa Peckham, PHARMD
• Maria T. Pedersen
• Pediatric Orthotics and Mobility Institute
• Pediatric Therapy Specialists
• Pedram Amani, MD, PLLC
• Angel Pedraza
• James Frederick Pehoushek, MD MPH
• Jacob Ty Pehrson, LAC

• Medical Specialty Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.