Peoria OB GYN, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

29224 Issued in AZ

Legal business name

PEORIA OB GYN, LLC

Practice address

14961 W Bell Rd Ste 175
Surprise, AZ 85374-3220

Phone

(623) 547-7205

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

Narindar Brar, D.O.

Title

D.O.

Phone

(623) 547-7205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1639539232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD STE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743220",
            "telephone_number": "623-547-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD STE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743220",
            "telephone_number": "623-547-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA OB GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "NARINDAR",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "623-547-7205",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "29224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camea Peca, PHD
• Jessica Ann Pech, APNP
• Julie Pena
• Sheng Yun Peng, DNP
• Thania Pennington
• Jesus Pereda
• Jennifer Pereyra
• Diwata M Perez, BS PHAR
• Jasmine Ann Marie Perez
• Juanita Perez

• Specialist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.