Active NPI
JB Healthcare LLC
- Pediatrics Physician
- Avondale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- JB HEALTHCARE LLC
- Practice address
- 10575 W Indian School Rd Ste 103
Avondale, AZ 85392-5651 - Phone
- (480) 747-0045
- Fax
- (480) 522-3522
- NPI assigned
- Apr 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ameeta Chowdhary
- Title
- Owner
- Phone
- (480) 747-0045
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
10575 W Indian School Rd Ste 103
Avondale, AZ 85392-5651
Mailing address
10575 W Indian School Rd Ste 103
Avondale, AZ 85392-5651
Phone (480) 747-0045
Other names 1
- Little Start Pediatrics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2168729 | JB Healthcare/Little Star Pediatrics | Certificate of waiver | Jul 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
10575 W Indian School Rd
Ste E103
Avondale, AZ 85392
Phone (480) 747-0045
10575 W Indian School Rd
#E103
Avondale, AZ 85392
10575 W Indian School Rd
Ste 103
Avondale, AZ 85392
Phone (480) 747-0045
13980 N 67th Ave
Glendale, AZ 85306
Phone (623) 979-9545
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Avondale, AZ
- NPI 1710413497
-
- Family Nurse Practitioner
- Surprise, AZ
- NPI 1336777424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660003200000",
"number": "1780146829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10575 W INDIAN SCHOOL RD STE 103",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925651",
"telephone_number": "480-747-0045",
"fax_number": "480-522-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10575 W INDIAN SCHOOL RD STE 103",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925651",
"telephone_number": "480-747-0045",
"fax_number": "480-522-3522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JB HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-05",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A",
"authorized_official_last_name": "CHOWDHARY",
"authorized_official_first_name": "AMEETA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-747-0045"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Little Start Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Little Start Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.