NPIMap

Organization Active NPI

West Valley Pediatrics, P.C.

  • Pediatrics Physician
  • Avondale, AZ
National Provider Identifier
1750890075
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WEST VALLEY PEDIATRICS, P.C.
Practice address
10750 West McDowell Rd
Suite G700
Avondale, AZ 85392
Phone
(623) 873-0321
Fax
(623) 849-9623
NPI assigned
Sep 29, 2017
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST VALLEY PEDIATRICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Hallie Hernandez
Title
Office Manager
Phone
(623) 873-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

10750 West McDowell Rd
Suite G700
Avondale, AZ 85392

Mailing address

10750 West McDowell Rd
Suite G 700
Avondale, AZ 85392
Phone (623) 873-0321

Other practice location 1

20770 W Market St Ste 101
Buckeye, AZ 85396-8042
Phone (623) 873-0321

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
03D0528324West Valley Pediatrics10750 W McDowell Rd Suite G700, Avondale, AZ 85392Certificate of waiverMay 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
West Valley Pediatrics PC2 organizations share this tax ID, including this one
Part of
West Valley Pediatrics PC

Other organizations with this tax ID 1

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

Locations

10750 W McDowell Rd
Ste G700
Avondale, AZ 85392
Phone (623) 873-0321

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1750890075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 WEST MCDOWELL RD",
            "address_2": "SUITE G 700",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85392",
            "telephone_number": "623-873-0321",
            "fax_number": "623-849-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 WEST MCDOWELL RD",
            "address_2": "SUITE G700",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85392",
            "telephone_number": "623-873-0321",
            "fax_number": "623-849-9623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20770 W Market St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853968042",
            "country_code": "US",
            "telephone_number": "623-873-0321",
            "fax_number": "623-265-6820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST VALLEY PEDIATRICS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST VALLEY PEDIATRICS",
        "enumeration_date": "2017-09-29",
        "last_updated": "2024-09-11",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-873-0321"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.