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TLC PEDIATRICS PLLC
NPI 1154530111
Specialist in Phoenix, AZ

Active since May 22, 2007CLIA Certified · 2 labs
16611 S 40TH ST, SUITE# 160, PHOENIX, AZ 85048(480) 940-8527(480) 940-8530 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Tlc Pediatrics Pllc NPPES

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

TLC PEDIATRICS PLLC (NPI 1154530111) is a healthcare organization registered as a specialist in Phoenix, Arizona and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Diane K Matsumoto, Owner, as its authorized official.

NPPES Registry Identity

NPI1154530111
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTLC PEDIATRICS PLLC
Location Address16611 S 40TH ST, SUITE# 160Phoenix, AZ 85048-0562
Mailing Address16611 S 40th St, Suite# 160Phoenix, AZ 85048-0562 · (480) 940-8527 · Fax (480) 940-8530
Phone(480) 940-8527
Fax(480) 940-8530
Organization SubpartNo
Authorized OfficialDiane K MatsumotoOwner · (480) 940-8527
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1154530111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
16611 S 40TH ST, Phoenix, AZ 85048
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 03D1022312

Tlc Pediatrics PLLC · Phoenix, AZ
Active · expires Feb 10, 2028
CLIA Number03D1022312
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorDiane K. Matsumoto, MD
Laboratory Phone(480) 940-8527
Laboratory LocationTlc Pediatrics PLLC16611 S 40th Street, Suite 160, Phoenix, AZ 85048
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2161301

Tlc Pediatrics · Chandler, AZ
Active · expires Jan 30, 2027
CLIA Number03D2161301
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorNoelle E. Miller
Laboratory Phone(480) 940-8527
Laboratory LocationTlc Pediatrics1783 E Queen Creek Road Ste 4, Chandler, AZ 85286
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 20

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

TARA N. BECHER PA-C
Physician Assistant
16611 S 40TH ST, SUITE 100
PHOENIX, AZ 85048
Maricopa County (480) 610-6366
TREVOR CARR PT
Physical Therapist
16611 S 40TH ST, SUITE 130
PHOENIX, AZ 85048
Maricopa County (480) 706-1199
SPOONER PHYSICAL THERAPY & HAND REHAB, PC
Clinic/Center (Physical Therapy)
16611 S 40TH ST, SUITE 130
PHOENIX, AZ 85048
Maricopa County (480) 706-1199
MRS. DIANE K MATSUMOTO MD
Pediatrics
16611 S 40TH ST, STE 160
PHOENIX, AZ 85048
Maricopa County (480) 940-8527
RICHARD W WILSON MD
Obstetrics & Gynecology
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Maricopa County (480) 785-2100
HOLLY L CAMPBELL FNP-BC
Nurse Practitioner (Family)
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Maricopa County (480) 785-2100
KAREN SUE PETTIT CRNFA
Registered Nurse (Registered Nurse First Assistant)
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Maricopa County (480) 785-2100
MRS. JESSICA MICHELLE SORENSEN P.T.
Physical Therapist
16611 S 40TH ST, SUITE 130
PHOENIX, AZ 85048
Maricopa County (480) 706-1199

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 Tlc Pediatrics PLLC's NPI number?

The NPI number for Tlc Pediatrics PLLC is 1154530111. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Tlc Pediatrics PLLC located?

Tlc Pediatrics PLLC is located at 16611 S 40th St Suite# 160, Phoenix, AZ 85048. The listed phone number is (480) 940-8527.

What is Tlc Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Tlc Pediatrics PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Tlc Pediatrics PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Tlc Pediatrics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tlc Pediatrics PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.