NPIMap

Organization Active NPI

Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1649986092
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PLEASANT PEDIATRICS PLC
Practice address
20033 N 19TH Ave BLDG 4
Phoenix, AZ 85027-4258
Phone
(623) 322-3380
Fax
(623) 322-4399
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PLEASANT PEDIATRICS PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Prasad Ravi
Title
Practice Manager
Phone
(623) 322-3380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

20033 N 19TH Ave BLDG 4
Phoenix, AZ 85027-4258

Mailing address

9059 W Lake Pleasant Pkwy Ste E540
Peoria, AZ 85382-8396
Phone (623) 322-3380

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
03D2274960Pleasant Pediatrics20033 N 19TH Ave BLDG Ste 100, Phoenix, AZ 85027Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Pediatrics22 organizations share this tax ID, including this one
Part of
Pleasant Pediatrics

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

9059 W Lake Pleasant Pkwy
Ste E540
Peoria, AZ 85382
Phone (623) 234-3283

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1649986092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY STE E540",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828396",
            "telephone_number": "623-322-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20033 N 19TH AVE BLDG 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274258",
            "telephone_number": "623-322-3380",
            "fax_number": "623-322-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT PEDIATRICS PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLEASANT PEDIATRICS PLC",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "623-322-3380"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 30, 2023; 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.