PLEASANT PEDIATRICS PLC (NPI# 1619485489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619485489 |
| Entity Type | Organization |
| Organization Name | PLEASANT PEDIATRICS PLC |
| Practice Address |
9980 W Glendale Ave Ste 130 Glendale AZ 85307-3007 |
| Mailing Address |
9059 W Lake Pleasant Pkwy Ste E540 Peoria AZ 85382-8396 |
| Practice Telephone | 6233223380 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | PRASAD RAVI (PRACTICE MANAGER) |
| Authorized Official Telephone | 6233223380 |
| Is Organization Subpart | Y |
| Parent Organization Name | PLEASANT PEDIATRICS PLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 34320 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 645732 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1356859128 | Pleasant Pediatrics Plc | Pediatrics | 10204 W Happy Valley Rd Ste 165, Peoria, AZ 85383-2880 | 2018-01-16 |
| 1295250009 | Pleasant Pediatrics Plc | Pediatrics | 421 W Brown Rd, Mesa, AZ 85201-3336 | 2017-08-14 |
| 1003352154 | Pleasant Pediatrics Plc | Pediatrics | 1601 N Oracle Rd, Tucson, AZ 85705-6440 | 2017-01-13 |
| 1376921106 | Pleasant Pediatrics Plc | Pediatrics | 5125 W Myrtle Ave, Glendale, AZ 85301-2007 | 2015-05-13 |
| 1013323591 | Pleasant Pediatrics Plc | Pediatrics | 12030 N 113th Ave, Youngtown, AZ 85363-1241 | 2014-07-07 |
| 1790025591 | Pleasant Pediatrics Plc | Pediatrics | 9744 W Northern Ave, Suite 1310, Peoria, AZ 85345-4603 | 2013-02-15 |
| 1477742807 | Pleasant Pediatrics Plc | Pediatrics | 9059 W Lake Pleasant Pkwy Ste 540, Peoria, AZ 85382-8363 | 2007-10-22 |
| 1043756034 | Pleasant Pediatrics Plc | Pediatrics | 1201 S 7th Ave, Room 1, Phoenix, AZ 85007-3917 | 2017-01-13 |
| 1457809519 | Pleasant Pediatrics Plc | Pediatrics | 723 E 2nd Ave, Mesa, AZ 85204-1039 | 2016-09-19 |
| Street Address |
9980 W GLENDALE AVE STE 130 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85307-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154635761 | Aeroptics LLC | Optometrist | 7071 N 138th Av, Bldg 1540, Glendale, AZ 85307 | 2010-08-06 |
| 1902894579 | Daniela Nicosia | Optometrist | 7071 N 138th Ave, Luke Afb, AZ 85307 | 2005-10-07 |
| 1144633157 | Sharan Kaur Knott | Pharmacist | 10945 W Vista Ln, Glendale, AZ 85307-1645 | 2014-06-06 |
| 1841813961 | Yoshica Mitchell | Behavior Technician | 12923 W Lawrence Ct, Glendale, AZ 85307-1900 | 2020-05-22 |
| 1700328556 | Tonya Brown | Social Worker | 12912 W Mclellan Rd, Glendale, AZ 85307-1917 | 2016-11-10 |
| 1447806997 | Tamarra Kalamchi | Dentist | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-08-12 |
| 1043623648 | Dr Larsen Eye Care Inc | Optometrist | 7071 N 138th Ave # 1552, Luke Afb, AZ 85307-2006 | 2014-06-11 |
| 1619519840 | Platinum Venture Group LLC | Durable Medical Equipment & Medical Supplies | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-10-09 |
| 1710255989 | Optical Center | Technician/Technologist | 7071 N 138th Ave, Glendale, AZ 85307-2006 | 2011-12-02 |
| 1386088128 | Clifton Jamar Premo | Respiratory Therapist, Registered | 13517 W Glendale Ave, Apt 1135, Glendale, AZ 85307-2010 | 2013-04-23 |
| Find all providers in zip 85307 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518412311 | Saul Grullon | Pediatrics | 7848 73rd Pl, Glendale, NY 11385-7426 | 2016-08-22 |
| 1376921106 | Pleasant Pediatrics Plc | Pediatrics | 5125 W Myrtle Ave, Glendale, AZ 85301-2007 | 2015-05-13 |
| 1770987158 | Alice Abrahamian Md, A Medical Corporation | Pediatrics | 411 N Central Ave Ste 130, Glendale, CA 91203-2092 | 2014-10-14 |
| 1144634510 | Josephine Moukhtar | Pediatrics | 1816 Orchard Ave Apt 1, Glendale, CA 91206-4179 | 2014-06-13 |
| 1386068419 | Jean Bove Goerss | Pediatrics | 7101 W Beardsley Rd, Unit 741, Glendale, AZ 85308-5699 | 2014-02-10 |
| 1811230139 | Caroline Kim Park | Pediatrics | 801 S Chevy Chase Dr Ste 200, Glendale, CA 91205-4435 | 2013-04-04 |
| 1396049235 | Parvaneh Rafaeloff, Md, Inc. | Pediatrics | 1030 S. Glendale Ave #308, Glendale, CA 91205-2866 | 2011-01-07 |
| 1649572652 | Gagik Khoylyan, M.d., Inc. | Pediatrics | 540 N Central Ave Ste 105, Glendale, CA 91203-3350 | 2010-11-23 |
| 1497985386 | Melissa C Jones | Pediatrics | 3575 W Deer Valley Rd, Suite 100, Glendale, AZ 85308 | 2009-07-25 |
| 1821253261 | Gagik Khoylyan | Pediatrics | 1030 S Glendale Ave Ste 307, Glendale, CA 91205-2866 | 2008-07-24 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.