Individual provider Active NPI

Marisa Farinella, DO

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1619900651
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
3968 Issued in AZ
Practice address
7010 E Chauncey LN Ste 225
Phoenix, AZ 85054-3117
Phone
(480) 585-5200
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MB52205 NJ
Pediatrics Physician 208000000X 3968 AZ Primary

Addresses

Primary practice location

7010 E Chauncey LN Ste 225
Phoenix, AZ 85054-3117

Mailing address

7010 E Chauncey LN Ste 225
Phoenix, AZ 85054-3117
Phone (480) 585-5200

Other identifiers 1

IdentifierTypeStateIssuer
264513MedicaidAZ

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3968AZMDClinical Psychologist
MB52205NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Pediatrics and Pediatric Nephrology, PLLC Pediatrics CurrentSince Oct 27, 2024 Accepting new patients

Locations

1120 S Dobson Rd
#B125
Chandler, AZ 85286

1120 S Dobson Rd
Ste B125
Chandler, AZ 85286

1120 S Dobson Rd
Ste 125
Chandler, AZ 85286
Phone (480) 585-5200

3575 W Deer Valley Rd
Ste 100
Glendale, AZ 85308
Phone (480) 585-5200

3050 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (480) 585-5200

7010 E Chauncey Ln
Ste 225
Phoenix, AZ 85054
Phone (480) 585-5200

7333 E Thomas Rd
Scottsdale, AZ 85251
Phone (480) 585-5200

Interoperability endpoints

  • Direct secure messaging: marisa.farinella@agave.eclinicaldirectplus.com

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619900651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 E CHAUNCEY LN STE 225",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543117",
            "telephone_number": "480-585-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 E CHAUNCEY LN STE 225",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543117",
            "telephone_number": "480-585-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARINELLA",
        "first_name": "MARISA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MB52205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "3968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264513",
            "state": "AZ"
        }
    ],
    "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 Jul 21, 2022; 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.