NPIMap

Organization Active NPI

Utah Valley Pediatrics L.L.C.

  • Pediatrics Physician
  • Saratoga Springs, UT
National Provider Identifier
1780460253
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
UTAH VALLEY PEDIATRICS L.L.C.
Practice address
41 E 1140 N Ste B
Saratoga Springs, UT 84045-5467
Phone
(801) 407-6500
NPI assigned
Aug 31, 2023
Organization subpart
Yes
Parent organization
UTAH VALLEY PEDIATRICS, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Gerald K Moffitt
Title
Administrator
Phone
(801) 373-8930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

41 E 1140 N Ste B
Saratoga Springs, UT 84045-5467

Mailing address

1355 N University Ave Ste 220
Provo, UT 84604-2721
Phone (801) 373-8930

Other practice location 1

747 East 400 North
Suite A
Vineyard, UT 84059
Phone (801) 357-7883

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
46D2010770Utah Valley Pediatrics Saratoga Springs41 E 1140 N, Ste B, Saratoga Springs, UT 84045Certificate of waiverAug 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
Utah Valley Pediatrics LC2 organizations share this tax ID, including this one
Part of
Utah Valley Pediatrics LC

Other organizations with this tax ID 1

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

Locations

1355 N University Ave
Ste 220
Provo, UT 84604

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1780460253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N UNIVERSITY AVE STE 220",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042721",
            "telephone_number": "801-373-8930",
            "fax_number": "801-373-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E 1140 N STE B",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455467",
            "telephone_number": "801-407-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 East 400 North",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Vineyard",
            "state": "UT",
            "postal_code": "84059",
            "country_code": "US",
            "telephone_number": "801-357-7883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UTAH VALLEY PEDIATRICS L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTAH VALLEY PEDIATRICS, L.L.C.",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-373-8930"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.