Organization Active NPI

Desert Pediatric Hospitalists PLC

  • Pediatrics Physician
  • Mesa, AZ
National Provider Identifier
1851367726
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DESERT PEDIATRIC HOSPITALISTS PLC
Practice address
4856 E Baseline Rd Ste 104
Mesa, AZ 85206-4635
Phone
(480) 633-7070
Fax
(480) 775-4306
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Steve Mousser, MD
Title
Managing Member
Phone
(480) 633-7070

Specialties & licenses 1

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

Addresses

Primary practice location

4856 E Baseline Rd Ste 104
Mesa, AZ 85206-4635

Mailing address

4856 E Baseline Rd Ste 104
Mesa, AZ 85206-4635
Phone (480) 633-7070

National Provider Directory

National Provider Directory

Locations

4856 E Baseline Rd
Ste 104
Mesa, AZ 85206
Phone (480) 355-1361

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1851367726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 E BASELINE RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064635",
            "telephone_number": "480-633-7070",
            "fax_number": "480-775-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4856 E BASELINE RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064635",
            "telephone_number": "480-633-7070",
            "fax_number": "480-775-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PEDIATRIC HOSPITALISTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "MOUSSER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-633-7070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.