Organization Active NPI

Palm Tree Pediatrics PLC

  • Pediatrics Physician
  • Sun City West, AZ
National Provider Identifier
1922295013
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
29580 Issued in AZ
Legal business name
PALM TREE PEDIATRICS PLC
Practice address
14506 W Granite Valley Dr
Suite 220
Sun City West, AZ 85375-6010
Phone
(623) 975-5400
Fax
(623) 975-6004
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Mrs. Tinuloa K Babarinde, M.D
Title
Owner/Doctor
Phone
(623) 975-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 29580 AZ Primary

Addresses

Primary practice location

14506 W Granite Valley Dr
Suite 220
Sun City West, AZ 85375-6010

Mailing address

14506 W Granite Valley Dr
Suite 220
Sun City West, AZ 85375-6010
Phone (623) 975-5400

Other identifiers 2

IdentifierTypeStateIssuer
1265594519OtherAZNPI
625246MedicaidAZ

National Provider Directory

National Provider Directory

Locations

14418 W Meeker Blvd
Ste 204B
Sun City West, AZ 85375

14418 W Meeker Blvd
Ste B204
Sun City West, AZ 85375

14741 W Mountain View Blvd
Ste 149
Surprise, AZ 85374
Phone (623) 975-5400

14741 W Mountain View Blvd
#149
Surprise, AZ 85374

Practitioners & affiliated clinicians

Practitioners 1

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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1922295013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR",
            "address_2": "SUITE 220",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756010",
            "telephone_number": "623-975-5400",
            "fax_number": "623-975-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR",
            "address_2": "SUITE 220",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756010",
            "telephone_number": "623-975-5400",
            "fax_number": "623-975-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM TREE PEDIATRICS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "BABARINDE",
        "authorized_official_first_name": "TINULOA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "623-975-5400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "29580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265594519",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.