NPIMap

Organization Active NPI

Patti J. Perry, M.D. PC

Doing business as Cactus Kids Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Yuma, AZ
National Provider Identifier
1992060222
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
19663 Issued in AZ
Legal business name
PATTI J. PERRY, M.D. PC
Doing business as
Cactus Kids Pediatrics
Practice address
1832 S. 8TH Avenue
Yuma, AZ 85364
Phone
(928) 782-6830
Fax
(928) 782-3312
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Patti J. Perry, M.D.NPI 1528131299
Title
Owner
Phone
(928) 782-6830

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 19663 AZ Primary

Addresses

Primary practice location

1832 S. 8TH Avenue
Yuma, AZ 85364

Mailing address

1832 S. 8TH Avenue
Yuma, AZ 85364
Phone (928) 782-6830

Other identifiers 1

IdentifierTypeStateIssuer
299744MedicaidAZ

Other names 1

  • Cactus Kids Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

1832 S 8th Ave
Yuma, AZ 85364
Phone (928) 782-6830

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1992060222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 S. 8TH AVENUE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-782-6830",
            "fax_number": "928-782-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 S. 8TH AVENUE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-782-6830",
            "fax_number": "928-782-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTI J. PERRY, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-782-6830",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "19663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299744",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cactus Kids Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.