TLC PEDIATRICS PLLC
NPI 1154530111
Specialist in Phoenix, AZ

NPI Status: Active since May 22, 2007

Contact Information

16611 S 40TH ST
SUITE# 160
PHOENIX, AZ
ZIP 85048
Phone: (480) 940-8527
Fax: (480) 940-8530

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  • Organization
  • Specialist
  • Accepts Insurance
  • CLIA Number: 03D2161301
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-30-2027

About TLC PEDIATRICS PLLC

This page provides the complete NPI Profile along with additional information for Tlc Pediatrics Pllc, a provider established in Phoenix, Arizona operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1154530111 assigned on May 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Diane K Matsumoto Md (Owner)

NPI
1154530111
Provider Name
TLC PEDIATRICS PLLC
Entity Type
Organization
Location Address
16611 S 40TH ST SUITE# 160 PHOENIX, AZ 85048
Location Phone
(480) 940-8527
Location Fax
(480) 940-8530
Mailing Address
16611 S 40TH ST SUITE# 160 PHOENIX, AZ 85048
Mailing Phone
(480) 940-8527
Mailing Fax
(480) 940-8530
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2007
Last Update Date
07-21-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License State
AZ
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANE K MATSUMOTO MD

Authorized Official Title
OWNER
Authorized Official Phone
(480) 940-8527

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2161301
Facility Type
Physician Office
Certificate Effective Date
January 31, 2025
Certificate Expiration Date
January 30, 2027
Laboratory Director
NOELLE E. MILLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tlc Pediatrics Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154530111, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 39. The final step is to find the difference between that total and the next multiple of ten (40 - 39 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 0 + 3 + 0 + 1 + 2 + 24 = 39

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 39 is 40. The difference is the calculated check digit.

40 - 39 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1154530111.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
16611 S 40TH ST, SUITE 160
PHOENIX, AZ 85048
Physical Therapist
16611 S 40TH ST, STE 130
PHOENIX, AZ 85048
Pediatrics
16611 S 40TH ST, STE 160
PHOENIX, AZ 85048
Pediatrics
16611 S 40TH ST, STE 160
PHOENIX, AZ 85048
Nurse Practitioner (Women's Health)
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Physical Therapist
16611 S 40TH ST, STE 130
PHOENIX, AZ 85048
Physical Therapist
16611 S 40TH ST, SUITE 130
PHOENIX, AZ 85048
Physical Therapist
16611 S 40TH ST, SUITE 130
PHOENIX, AZ 85048
Physical Therapist
16611 S 40TH ST, SUITE 130
PHOENIX, AZ 85048
Physical Therapist
16611 S 40TH ST, SUITE 130
PHOENIX, AZ 85048
Registered Nurse (Registered Nurse First Assistant)
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Physical Therapist
16611 S 40TH ST, STE. 130
PHOENIX, AZ 85048
Nurse Practitioner (Women's Health)
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Obstetrics & Gynecology
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Obstetrics & Gynecology
16611 S 40TH ST, STE 180
PHOENIX, AZ 85048
Obstetrics & Gynecology
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Nurse Practitioner (Family)
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Family Medicine
16611 S 40TH ST, SUITE 120
PHOENIX, AZ 85048
Family Medicine
16611 S 40TH ST, SUITE 120
PHOENIX, AZ 85048
Physician Assistant
16611 S 40TH ST, SUITE 100
PHOENIX, AZ 85048

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154530111, enumerated as an "organization" on May 22, 2007.

The provider is located at 16611 S 40TH ST SUITE# 160 PHOENIX, AZ 85048 and the phone number is (480) 940-8527.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.