Individual provider Active NPI

Janiel L. Pimentel-Vasquez, MD

  • Pediatric Endocrinology Physician
  • Phoenix, AZ
National Provider Identifier
1881932226
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
51280 Issued in AZ
Practice address
1920 E Cambridge Ave Ste 301
Phoenix, AZ 85006
Phone
(602) 933-0935
Fax
(602) 933-2471
NPI assigned
Jan 18, 2013
Last updated
Aug 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 51280 AZ
Pediatric Endocrinology Physician 2080P0205X 51280 AZ Primary

Addresses

Primary practice location

1920 E Cambridge Ave Ste 301
Phoenix, AZ 85006

Mailing address

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1814

Other names 1

  • Janiel L. Pimentel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170629001971 AZ Practitioner - EndocrinologyPractitioner - Pediatric Medicine 5597034892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Pediatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Children's HospitalGroup PAC ID 0446278584, 431 clinicians

Practice addresses (Care Compare)

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jul 1, 2018 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Phoenix Children's Medical Group CurrentSince Jul 27, 2017 Accepting new patients
Phoenix Children's Hospital Pediatrics Current Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2018 Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Phoenix Children's Hospital Past Accepting new patients

Locations

1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005

3370 S Mercy Rd
Ste 118
Gilbert, AZ 85297

3420 S Mercy Rd
Ste 113
Gilbert, AZ 85297
Phone (480) 219-3346

3420 S Mercy Rd
Ste 121
Gilbert, AZ 85297
Phone (602) 933-2263

5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

1920 E Cambridge Ave
Ste 301
Phoenix, AZ 85006
Phone (602) 253-6000

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2525 E Roosevelt St
Fl 2
Phoenix, AZ 85008

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

Interoperability endpoints

  • Direct secure messaging: jpimentelvasquez175509@direct.valleywisehealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1881932226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD",
            "address_2": "STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E CAMBRIDGE AVE STE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "602-933-0935",
            "fax_number": "602-933-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL-VASQUEZ",
        "first_name": "JANIEL",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "51280",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "AZ",
            "license": "51280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIEL",
            "last_name": "PIMENTEL",
            "middle_name": "L.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.