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DESERT KIDS PEDIATRICS PLC
NPI 1043461171
Pediatrics in Phoenix, AZ

Active since October 07, 2008CLIA 03D1092116 · Waiver
6707 N 19TH AVE, STE 109, PHOENIX, AZ 85015(602) 973-9234(602) 973-9271 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desert Kids Pediatrics Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESERT KIDS PEDIATRICS PLC (NPI 1043461171) is a healthcare organization registered as a pediatrics in Phoenix, Arizona and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Graviola R. Brooks-martinez, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1043461171
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDESERT KIDS PEDIATRICS PLC
Location Address6707 N 19TH AVE, STE 109Phoenix, AZ 85015-1105
Mailing Address6707 N 19th Ave, Ste 109Phoenix, AZ 85015-1105 · (602) 973-9234 · Fax (602) 973-9271
Phone(602) 973-9234
Fax(602) 973-9271
Organization SubpartNo
Authorized OfficialGraviola R. Brooks-martinezOwner/physician · (602) 973-9234
Enumeration DateOctober 7, 2008
Last NPPES UpdateAugust 1, 2013
✔ NPI 1043461171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 28558
Definition
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.
6707 N 19TH AVE, Phoenix, AZ 85015
Open in Google Maps ↗

Other Identifiers 1

Medicaid375531AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1092116

Desert Kids Pediatrics, Plc · Phoenix, AZ
Active · expires Nov 17, 2026
CLIA Number03D1092116
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorGraviola R. Brooks-Martinez, MD
Laboratory Phone(602) 973-9234
Laboratory LocationDesert Kids Pediatrics, Plc6707 N 19th Avenue, Suite 109, Phoenix, AZ 85015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMI IMAGING, LLC
Clinic/Center (Radiology)
6707 N 19TH AVE, SUITE 101
PHOENIX, AZ 85015
Maricopa County (602) 242-4177
CLINICAL ASSOCIATES IN INTERNAL MEDICINE, LTD
Specialist
6707 N 19TH AVE, SUITE 200
PHOENIX, AZ 85015
Maricopa County (602) 249-4750
ALYSSA MILLAR FNP-C
Nurse Practitioner
6707 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 693-1183
DR. RONALD P. STEINBACH D.C.
Chiropractor
6707 N 19TH AVE, SUITE 102
PHOENIX, AZ 85015
Maricopa County (602) 246-2212
DR. ARTHUR JESSE TALLIS DPM
Podiatrist
6707 N 19TH AVE, SUITE 103
PHOENIX, AZ 85015
Maricopa County (602) 274-4100
ERIC DUQUELLA M.D.
Internal Medicine
6707 N 19TH AVE, SUITE 200
PHOENIX, AZ 85015
Maricopa County (602) 249-4750
HAWKEYE FOOT AND ANKLE LLC
Clinic/Center (Podiatric)
6707 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 274-4100
LAUREEN COTA DPM
Podiatrist
6707 N 19TH AVE, #103
PHOENIX, AZ 85015
Maricopa County (602) 274-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desert Kids Pediatrics Plc's NPI number?

The NPI number for Desert Kids Pediatrics Plc is 1043461171. It was assigned to this organization in the NPPES registry on October 7, 2008.

Where is Desert Kids Pediatrics Plc located?

Desert Kids Pediatrics Plc is located at 6707 N 19th Ave Ste 109, Phoenix, AZ 85015. The listed phone number is (602) 973-9234.

What is Desert Kids Pediatrics Plc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Desert Kids Pediatrics Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1092116) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Desert Kids Pediatrics Plc was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.