SANDLOT PEDIATRICS & YOUNG ADULTS, LLC
NPI 1285957134
Pediatrics in Tempe, AZ

NPI Status: Active since March 08, 2010

Contact Information

2600 E SOUTHERN AVE
BLDG H
TEMPE, AZ
ZIP 85282
Phone: (480) 699-7248
Fax: (480) 664-1961

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  • Organization
  • Pediatrics
  • CLIA Number: 03D2010439
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-27-2026

About SANDLOT PEDIATRICS & YOUNG ADULTS, LLC

This page provides the complete NPI Profile along with additional information for Sandlot Pediatrics & Young Adults, Llc, a pediatrician established in Tempe, Arizona operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1285957134 assigned on March 2010. The practitioner's primary taxonomy code is 208000000X with license number 29730 (AZ). The provider is registered as an organization and their NPI record was last updated 11 years ago. Sandlot Pediatrics & Young Adults, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Nicolas Antonio Gonzalez M.d (Physician)

NPI
1285957134
Provider Name
SANDLOT PEDIATRICS & YOUNG ADULTS, LLC
Entity Type
Organization
Location Address
2600 E SOUTHERN AVE BLDG H TEMPE, AZ 85282
Location Phone
(480) 699-7248
Location Fax
(480) 664-1961
Mailing Address
2600 E SOUTHERN AVE BLDG- H TEMPE, AZ 85282
Mailing Phone
(480) 699-7248
Mailing Fax
(480) 664-1961
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2010
Last Update Date
09-11-2015
Code Navigator

A pediatrician like Sandlot Pediatrics & Young Adults, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
29730
License State
AZ
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

(AZ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. NICOLAS ANTONIO GONZALEZ M.D

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(480) 699-7248

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
03D2010439
Facility Type
Physician Office
Certificate Effective Date
July 28, 2024
Certificate Expiration Date
July 27, 2026
Laboratory Director
NICOLAS A. GONZALEZ
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Sandlot Pediatrics & Young Adults, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1285957134, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 8 → 16 → 7 9 → 18 → 9 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 1 + 8 + 5 + 1 + 4 + 1 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1285957134.

Other Providers at the Same Location


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

Pediatrics
2600 E SOUTHERN AVE, BLDG. H
TEMPE, AZ 85282
Specialist
2600 E SOUTHERN AVE, STE J-2
TEMPE, AZ 85282
Internal Medicine
2600 E SOUTHERN AVE, SUITE B2
TEMPE, AZ 85282
Specialist
2600 E SOUTHERN AVE, SUITE A1
TEMPE, AZ 85282
Internal Medicine
2600 E SOUTHERN AVE, SUITE A-2
TEMPE, AZ 85282
Surgery
2600 E SOUTHERN AVE, SUITE E1
TEMPE, AZ 85282
Urology
2600 E SOUTHERN AVE, SUITE J1
TEMPE, AZ 85282
Psychologist
2600 E SOUTHERN AVE, SUITE C3
TEMPE, AZ 85282
Counselor
2600 E SOUTHERN AVE, SUITE C3
TEMPE, AZ 85282
Family Medicine
2600 E SOUTHERN AVE, SUITE F4
TEMPE, AZ 85282
Surgery
2600 E SOUTHERN AVE, SUITE E-1
TEMPE, AZ 85282
Dermatology
2600 E SOUTHERN AVE, #A-2
TEMPE, AZ 85282
Psychologist
2600 E SOUTHERN AVE, SUITE C-3
TEMPE, AZ 85282
Internal Medicine
2600 E SOUTHERN AVE, SUITE B2
TEMPE, AZ 85282
Audiologist
2600 E SOUTHERN AVE, STE J2
TEMPE, AZ 85282
Psychologist (Clinical)
2600 E SOUTHERN AVE, STE. C3
TEMPE, AZ 85282
Clinic/Center (Medical Specialty)
2600 E SOUTHERN AVE, SUITE K
TEMPE, AZ 85282
Psychologist
2600 E SOUTHERN AVE, SUITE C-3
TEMPE, AZ 85282
Internal Medicine (Pulmonary Disease)
2600 E SOUTHERN AVE, STE I-3
TEMPE, AZ 85282
Psychiatry & Neurology (Neurology)
2600 E SOUTHERN AVE, #D1
TEMPE, AZ 85282

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285957134, enumerated as an "organization" on March 08, 2010.

The provider is located at 2600 E SOUTHERN AVE BLDG H TEMPE, AZ 85282 and the phone number is (480) 699-7248.

Pediatrics with taxonomy code 208000000X.