Jumpstart Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

947393 (CMO) Issued in AZ

Legal business name

JUMPSTART PEDIATRICS LLC

Practice address

2828 S Brett St
Gilbert, AZ 85295-6016

Phone

(480) 710-5590

Fax

(858) 693-1367

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Lowell W Giffhorn

Title

President

Phone

(619) 977-1614

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1710254040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 KEMAH LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311320",
            "telephone_number": "619-977-1614",
            "fax_number": "858-693-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S BRETT ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956016",
            "telephone_number": "480-710-5590",
            "fax_number": "858-693-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMPSTART PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "GIFFHORN",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-977-1614",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "947393  (CMO)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Kristine Judge, MS LPC
• Lailani Jui, SLPA
• Chantel Juitt
• Walter Clark Julian, DDS
• Jumana Ghorab, DDS, PC
• Junebug Kidz Az, L.L.C.
• Kristen Joyce Jung, M.S., CCC-SLP
• Kayla Junior
• Heather Juniper, FNP
• Junius N. Gibbons DDS, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.