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PLLC
NPI 1063510279
Pediatrics in Bullhead City, AZ

Active since September 20, 2006
1225 HANCOCK RD, SUITE # B, BULLHEAD CITY, AZ 86442(928) 758-0183(928) 758-6665 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pllc NPPES

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

PLLC (NPI 1063510279) is a healthcare organization registered as a pediatrics in Bullhead City, Arizona and active in the NPI registry since September 2006. The organization lists Naila Ashraf Tariq, Physician, as its authorized official.

NPPES Registry Identity

NPI1063510279
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDRENS MEDICAL CENTER OF BULLHEAD CITY, PLLC
Location Address1225 HANCOCK RD, SUITE # BBullhead City, AZ 86442-5948
Mailing Address1225 Hancock Rd, Suite # BBullhead City, AZ 86442-5948 · (928) 758-0183 · Fax (928) 758-6665
Phone(928) 758-0183
Fax(928) 758-6665
Organization SubpartNo
Authorized OfficialNaila Ashraf TariqPhysician · (928) 758-0183
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 4, 2013
✔ NPI 1063510279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 31594
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.
1225 HANCOCK RD, Bullhead City, AZ 86442
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Other Names 1

Other NamePllc

Other Identifiers 3

Medicare UPINH98492
Medicaid788531AZ
Medicare ID-Type UnspecifiedZ 77102CA

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 03D1001959

Childrens Medical Center · Bullhead City, AZ
Expired · Jul 23, 2026
CLIA Number03D1001959
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorNaila Tariq, MD
Laboratory Phone(928) 758-0183
Laboratory LocationChildrens Medical Center1225 E Hancock Rd #b, Bullhead City, AZ 86442
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

RODRIGO MARAMBA CID A.N.P.
Clinical Nurse Specialist (Family Health)
1225 HANCOCK RD, SUITE C
BULLHEAD CITY, AZ 86442
Mohave County (928) 758-0121
SUSAN ZOOK FNP-C
Nurse Practitioner (Adult Health)
1225 HANCOCK RD, BLDG A STE 100F
BULLHEAD CITY, AZ 86442
Mohave County (928) 435-0123
DR. JOSIAH B DRAWHORN PH.D., N.D., TH.D.
Psychologist
1225 HANCOCK RD, SUITE 301
BULLHEAD CITY, AZ 86442
Mohave County (928) 758-8255
MS. JOIE LYNN TEDDER APRN,FNP-C
Nurse Practitioner (Family)
1225 HANCOCK RD, BLDG C, STE 302
BULLHEAD CITY, AZ 86442
Mohave County (928) 440-6995
HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC
Internal Medicine (Hematology & Oncology)
1225 HANCOCK RD, SUITE 204
BULLHEAD CITY, AZ 86442
Mohave County (928) 219-4560
ANTHONY SCHWARTZ DO
Surgery
1225 HANCOCK RD, SUITE 204
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-3712
WAHEED H ZEHRI MD
Internal Medicine
1225 HANCOCK RD, #C
BULLHEAD CITY, AZ 86442
Mohave County (928) 758-0121
TRI STATE GASTROENTEROLOGY, P.C.
Internal Medicine (Gastroenterology)
1225 HANCOCK RD, SUITE 205
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-1680

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 Childrens Medical Center Of Bullhead City, PLLC's NPI number?

The NPI number for Childrens Medical Center Of Bullhead City, PLLC is 1063510279. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is also known as PLLC.

Where is Childrens Medical Center Of Bullhead City, PLLC located?

Childrens Medical Center Of Bullhead City, PLLC is located at 1225 Hancock Rd Suite # B, Bullhead City, AZ 86442. The listed phone number is (928) 758-0183.

What is Childrens Medical Center Of Bullhead City, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Childrens Medical Center Of Bullhead City, PLLC was last updated on November 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.