Organization Active NPI

West Phoenix Pediatrics PLC

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1649380205
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34213 Issued in AZ
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7672735OtherAETNA HEALTHCARE
959223OtherAZAHCCCS
145458OtherGALAXY HEALTH NTWK
AZ0788280OtherCIGNA HELATHCARE
2Z3015OtherHEALTHNET POS
5655373OtherAZMERCY CARE
AZ078820OtherTRICARE
5655373OtherCCN
AZ078820OtherAZBCBS
2Z3015OtherHEALTHNET PPO
46677OtherAZBANNER CHOICE PLUS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1045369West Phoenix Pediatrics, PLC9305 W Thomas Rd, Ste 450, Phoenix, AZ 85037Certificate of waiverSep 12, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.