Organization Active NPI

East Valley Pediatrics, PLC

  • Pediatrics Physician
  • Gilbert, AZ
National Provider Identifier
1801816350
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EAST VALLEY PEDIATRICS, PLC
Practice address
3921 E Baseline Rd # 120
Gilbert, AZ 85234-2727
Phone
(480) 615-2010
Fax
(480) 962-0523
NPI assigned
Jul 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diane M Vonflue
Title
Cfo
Phone
(480) 615-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

3921 E Baseline Rd # 120
Gilbert, AZ 85234-2727

Mailing address

PO Box 16455
Mesa, AZ 85211-6455
Phone (480) 615-2010

Other names 1

  • First Choice Obstetrics & Gynecology, PLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3921 E Baseline Rd
#120
Gilbert, AZ 85234
Phone (480) 615-2010

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801816350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16455",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852116455",
            "telephone_number": "480-615-2010",
            "fax_number": "480-962-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 E BASELINE RD # 120",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342727",
            "telephone_number": "480-615-2010",
            "fax_number": "480-962-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY PEDIATRICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VONFLUE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-615-2070"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Obstetrics & Gynecology, PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.