Riyal Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35000 Issued in AZ

Legal business name

RIYAL PEDIATRICS, PLLC

Doing business as

Advance Care Pediatrics

Practice address

604 W Warner Rd
C1
Chandler, AZ 85225-2906

Phone

(480) 427-2630

Fax

(480) 427-2623

NPI assigned

Sep 9, 2010

Organization subpart

No

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

Authorized official

Name

Manisha J Thakkar, MD

Title

Proprietor

Phone

(513) 252-3399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advance Care Pediatrics Doing business as

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1659688711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD",
            "address_2": "C1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252906",
            "telephone_number": "480-427-2630",
            "fax_number": "480-427-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD",
            "address_2": "C1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252906",
            "telephone_number": "480-427-2630",
            "fax_number": "480-427-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIYAL PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "513-252-3399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "35000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104997",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Care Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariline Raquel Rivera Alvarado
• Olivia Rivera-Gutierrez
• Crystal Danielle Rivera
• Donna Lynn Rivera, APN, CNM
• Mary Margaret Rivera, FNP-BC
• Omar Haider Rizvi, MD
• Kristopher Richard Roach, M.D.
• Sky Lisa Robbins-Bailey
• Chantae Denise Roberson
• Noriko U Roberson, NP-C

• Pediatrics Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.