Active NPI
West Phoenix Pediatrics PLC
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1649380205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34213
- Legal business name
- WEST PHOENIX PEDIATRICS PLC
- Practice address
- 9305 W Thomas Rd
Suite 450
Phoenix, AZ 85037 - Phone
- (623) 889-6186
- Fax
- (623) 889-6188
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Celida Rangel, MD
- Title
- Member
- Phone
- (623) 889-6186
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34213 | AZ | Primary |
Addresses
Primary practice location
9305 W Thomas Rd
Suite 450
Phoenix, AZ 85037
Mailing address
9305 W Thomas Rd
Suite 450
Phoenix, AZ 85037
Phone (623) 889-6186
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7672735 | Other | AETNA HEALTHCARE | |
| 959223 | Other | AZ | AHCCCS |
| 145458 | Other | GALAXY HEALTH NTWK | |
| AZ0788280 | Other | CIGNA HELATHCARE | |
| 2Z3015 | Other | HEALTHNET POS | |
| 5655373 | Other | AZ | MERCY CARE |
| AZ078820 | Other | TRICARE | |
| 5655373 | Other | CCN | |
| AZ078820 | Other | AZ | BCBS |
| 2Z3015 | Other | HEALTHNET PPO | |
| 46677 | Other | AZ | BANNER CHOICE PLUS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1045369 | West Phoenix Pediatrics, PLC | Certificate of waiver | Sep 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
9305 W Thomas Rd
Ste 450
Phoenix, AZ 85037
Phone (623) 889-3303
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1952411506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310428800000",
"number": "1649380205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9305 W THOMAS RD",
"address_2": "SUITE 450",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85037",
"telephone_number": "623-889-6186",
"fax_number": "623-889-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9305 W THOMAS RD",
"address_2": "SUITE 450",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85037",
"telephone_number": "623-889-6186",
"fax_number": "623-889-6188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST PHOENIX PEDIATRICS PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-07-12",
"status": "A",
"authorized_official_last_name": "RANGEL",
"authorized_official_first_name": "CELIDA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "623-889-6186",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "34213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "7672735",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "959223",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GALAXY HEALTH NTWK",
"identifier": "145458",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HELATHCARE",
"identifier": "AZ0788280",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET POS",
"identifier": "2Z3015",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY CARE",
"identifier": "5655373",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "AZ078820",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "5655373",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ078820",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET PPO",
"identifier": "2Z3015",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BANNER CHOICE PLUS",
"identifier": "46677",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- West McDowell Health Center PLLC
- West Palm Valley Hospice
- West Palm Valley Hospice LLC
- West Park Medical Corp (Northwest Medical Center)
- West Phoenix Community Care
- West Phoenix Surgical Center LLC
- West Point Optical Group
- West Valley Assists LLC
- West Valley Ear Nose and Throat PC
- West Valley Endocrinology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.