Pendleton Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25070 Issued in AZ

Legal business name

PENDLETON PEDIATRICS PC

Practice address

1445 W Chander Blvd
BLDG B
Chandler, AZ 85248

Phone

(480) 338-5505

Fax

(480) 385-5054

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Vicki A Maldonado

Title

Billing Administrator

Phone

(480) 385-5055

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1699973750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 W CHANDER BLVD",
            "address_2": "BLDG B",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85248",
            "telephone_number": "480-338-5505",
            "fax_number": "480-385-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 W CHANDER BLVD",
            "address_2": "BLDG B",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85248",
            "telephone_number": "480-338-5505",
            "fax_number": "480-385-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDLETON PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "480-385-5055"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "25070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389777",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peggy J Bair, Rnfa, LLC
• Daniel Adam Pelletier, PHARMD
• Stefanie Pelletier, PHARM.D.
• Jannet Pena
• Penali Manor LLC
• Judith Pendleton, MD
• Scott E Pendleton, M.D.
• Paulina Peng
• Pennington Gardens SL, LLC
• Philip Pepple, MD

• 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 Jul 10, 2007; 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.