NPIMap

Organization Active NPI

West Valley Pediatrics, P.C.

  • Pediatrics Physician
  • Avondale, AZ
National Provider Identifier
1619195971
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WEST VALLEY PEDIATRICS, P.C.
Practice address
10750 W. MC Dowell Rd
Ste G700
Avondale, AZ 85323
Phone
(623) 873-0321
Fax
(623) 849-9623
NPI assigned
Apr 23, 2007
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Hallie Hernandez
Title
Office Manager
Phone
(623) 873-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

10750 W. MC Dowell Rd
Ste G700
Avondale, AZ 85323

Mailing address

10750 W MC Dowell Rd
Suite G700
Avondale, AZ 85392-5972
Phone (623) 873-0321

Other practice location 1

20770 W Market St Ste 101
Buckeye, AZ 85396-8042
Phone (623) 873-0321

Other identifiers 1

IdentifierTypeStateIssuer
166985MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
West Valley Pediatrics PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1619195971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 W MC DOWELL RD",
            "address_2": "SUITE G700",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925972",
            "telephone_number": "623-873-0321",
            "fax_number": "623-265-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 W. MC DOWELL RD",
            "address_2": "STE G700",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "623-873-0321",
            "fax_number": "623-849-9623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20770 W Market St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853968042",
            "country_code": "US",
            "telephone_number": "623-873-0321",
            "fax_number": "623-265-6820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST VALLEY PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-09-19",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-873-0321"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166985",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.