Boys and Girls Pediatric PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BOYS AND GIRLS PEDIATRIC PC

Practice address

2727 W Baseline Rd
Suite 11
Tempe, AZ 85283-1067

Phone

(602) 714-5064

Fax

(602) 714-5314

NPI assigned

Mar 11, 2016

Last updated

Mar 11, 2016By 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

Enrique M Cifuentes

Title

Medical Director

Phone

(602) 714-5064

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Aureliano E Cifuentes, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tempe, AZ
  • NPI 1679565519
  NPD (past)
• Lorena A Conde, PA-C

  • Medical Physician Assistant
  • Tempe, AZ
  • NPI 1124397278
  NPD (past)
• Rachel Ortiz, NP

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1225588767
  NPD (past)

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1619338167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W BASELINE RD",
            "address_2": "SUITE 11",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831067",
            "telephone_number": "602-714-5064",
            "fax_number": "602-714-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W BASELINE RD",
            "address_2": "SUITE 11",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831067",
            "telephone_number": "602-714-5064",
            "fax_number": "602-714-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS AND GIRLS PEDIATRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "CIFUENTES",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-714-5064"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Boyer, LISAC, CADAC
• Michael James Boylan, LCSW
• Lucyna Boyle, MD
• Pamela Renee Boyle, LPC, LISAC
• Sheraden Boynton, RN
• Sheryl Braat, PMHNP
• Aubrey Brabo, BHT
• Mark I Brachfeld, M.D.
• Braden Partners LP (Pacific Pulmonary Services)
• Cindy Braden

• Pediatrics Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.