NPIMap

Organization Active NPI

Camelback Pediatrics PC

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1831257575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CAMELBACK PEDIATRICS PC
Practice address
4350 E Camelback Road
Suite G100
Phoenix, AZ 85018-2720
Phone
(602) 840-3120
Fax
(602) 840-3237
NPI assigned
Dec 5, 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
David R Alexander, MDNPI 1497841423
Title
President
Phone
(602) 840-3120

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 NU Primary

Addresses

Primary practice location

4350 E Camelback Road
Suite G100
Phoenix, AZ 85018-2720

Mailing address

4350 E Camelback Road
Suite G100
Phoenix, AZ 85018-2720
Phone (602) 840-3120

Other names 1

  • The Pediatric Clinic LTD Former legal business name

National Provider Directory

National Provider Directory

Locations

4350 E Camelback Rd
#G100
Phoenix, AZ 85018
Phone (602) 840-3120

4350 E Camelback Rd
Ste G100
Phoenix, AZ 85018
Phone (602) 840-3120

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831257575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK ROAD",
            "address_2": "SUITE G100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182720",
            "telephone_number": "602-840-3120",
            "fax_number": "602-840-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK ROAD",
            "address_2": "SUITE G100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182720",
            "telephone_number": "602-840-3120",
            "fax_number": "602-840-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELBACK PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-840-3120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pediatric Clinic LTD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 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.