NPIMap

Organization Active NPI

Pleasant Pediatrics PLC

Doing business as Pleasant Pediatrics

  • Pediatrics Physician
  • Peoria, AZ
National Provider Identifier
1790025591
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34320 Issued in AZ
Legal business name
PLEASANT PEDIATRICS PLC
Doing business as
Pleasant Pediatrics
Practice address
9744 W Northern Ave
Suite 1310
Peoria, AZ 85345-4603
Phone
(623) 776-7500
NPI assigned
Feb 15, 2013
Last updated
Feb 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Dr. Sandhya Ravi, MDNPI 1093701286
Title
Physician
Phone
(623) 322-3380

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)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34320 AZ Primary

Addresses

Primary practice location

9744 W Northern Ave
Suite 1310
Peoria, AZ 85345-4603

Mailing address

9059 W Lake Pleasant Pkwy
Suite E540
Peoria, AZ 85382-8336
Phone (623) 322-3380

Other identifiers 1

IdentifierTypeStateIssuer
645732MedicaidAZ

Other names 1

  • PLEASANT PEDIATRICS Doing business as

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
03D2018461Pleasant Pediatrics9744 W Northern Ave Ste 1310, Peoria, AZ 85345Certificate of waiverJan 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Pediatrics22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

9744 W Northern Ave
Ste 1310
Peoria, AZ 85345
Phone (623) 776-7500

Practitioners & affiliated clinicians

Practitioners 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1790025591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY",
            "address_2": "SUITE E540",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828336",
            "telephone_number": "623-322-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9744 W NORTHERN AVE",
            "address_2": "SUITE 1310",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853454603",
            "telephone_number": "623-776-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT PEDIATRICS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "623-322-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "34320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "645732",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLEASANT PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.