Organization Active NPI

Desert View Medical Center and Pediatrics, Corp

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1790183564
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DESERT VIEW MEDICAL CENTER AND PEDIATRICS, CORP
Practice address
3201 W Peoria Ave Ste D805
Phoenix, AZ 85029-4600
Phone
(602) 279-2400
Fax
(602) 279-5890
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Mrs. Mirta C Dalotto
Title
Owner/Administrator
Phone
(602) 569-5437

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3201 W Peoria Ave Ste D805
Phoenix, AZ 85029-4600

Mailing address

727 E Bethany Home Rd Ste B112
Phoenix, AZ 85014-2151
Phone (602) 279-2400

Other identifiers 1

IdentifierTypeStateIssuer
980078MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1790183564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E BETHANY HOME RD STE B112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142151",
            "telephone_number": "602-279-2400",
            "fax_number": "602-279-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE D805",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294600",
            "telephone_number": "602-279-2400",
            "fax_number": "602-279-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VIEW MEDICAL CENTER AND PEDIATRICS, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "DALOTTO",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "602-569-5437",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "980078",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.