Individual provider Active NPI

Perminder Dutt Vaid, M.D.

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1609977057
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
28603 Issued in AZ
Practice address
6524 W Indian School Rd
Suite # C
Phoenix, AZ 85033
Phone
(623) 247-7409
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 28603 AZ Primary

Addresses

Primary practice location

6524 W Indian School Rd
Suite # C
Phoenix, AZ 85033

Mailing address

6524 W Indian School Rd
#C
Phoenix, AZ 85033-3329
Phone (623) 247-7409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28603AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Hispana of West Valley Current Accepting new patients

Locations

6524 W Indian School Rd
#C
Phoenix, AZ 85033
Phone (623) 247-7409

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1609977057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 W INDIAN SCHOOL RD",
            "address_2": "#C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333329",
            "telephone_number": "623-247-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 W INDIAN SCHOOL RD",
            "address_2": "SUITE # C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85033",
            "telephone_number": "623-247-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAID",
        "first_name": "PERMINDER",
        "middle_name": "DUTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-03-11",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "28603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.