Canyon Pediatrics, Inc
LBN: Canyon Pediatrics, Inc
Canyon Pediatrics, Inc is an health care organization with primary practice located at 815 E University Dr , Mesa AZ 85203-8032. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Primary Care, Managed Care Organizations / Health Maintenance Organization. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Canyon Pediatrics, Inc can be contacted via phone (480) 776-7155, or through Dominguez, Irma J via phone (480) 507-2199.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Managed Care Organizations / Health Maintenance Organization | 302R00000X |
Profile Details
| NPI number | 1780449348 |
|---|---|
| LBN Legal business name | Canyon Pediatrics, Inc |
| DBA Doing business as | |
| Authorized official | Dominguez, Irma J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2024 |
| Last updated | Feb 13th, 2024 - about 9 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780449348 | NPPES |
| Arizona | Other | 1Z5874 | HEALTH NET |
| Arizona | MEDICAID | 053504 | HEALTH NET |
| Arizona | Other | 183427266 | HEALTH NET |
| Arizona | Other | 2048349 | HEALTH NET |
| Arizona | Other | 6327185 | HEALTH NET |
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