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PEDIATRAS ARIZONA
NPI 1427152164
Pediatrics in Phoenix, AZ

Active since September 12, 2006CLIA 03D1041200 · Waiver
1641 E OSBORN RD, SUITE 3, PHOENIX, AZ 85016(602) 218-6397(602) 281-6391 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatras Arizona NPPES

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

PEDIATRAS ARIZONA (NPI 1427152164) is a healthcare organization registered as a pediatrics in Phoenix, Arizona and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Juan C Llusco, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1427152164
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRAS ARIZONA
Location Address1641 E OSBORN RD, SUITE 3Phoenix, AZ 85016-7146
Mailing AddressPo Box 71608Phoenix, AZ 85050-1011 · (602) 218-6397 · Fax (602) 281-6391
Phone(602) 218-6397
Fax(602) 281-6391
Organization SubpartNo
Authorized OfficialJuan C LluscoOwner/president · (602) 218-6397
Enumeration DateSeptember 12, 2006
Last NPPES UpdateNovember 29, 2016
✔ NPI 1427152164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
1641 E OSBORN RD, Phoenix, AZ 85016
Open in Google Maps ↗

Other Identifiers 1

Other805872Ahcccs

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

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 03D1041200

Pediatras Arizona Plc · Phoenix, AZ
Active · expires May 24, 2027
CLIA Number03D1041200
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorJuan Llusco, MD
Laboratory Phone(602) 218-6397
Laboratory LocationPediatras Arizona Plc1641 E Osborn Rd, Ste 3, Phoenix, AZ 85016
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 18

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

RANDI ZAILA CCC-SLP
Speech-Language Pathologist
1641 E OSBORN RD, SUITE 1
PHOENIX, AZ 85016
Maricopa County (602) 265-4124
DANA MARIE WRIGHT
Speech-Language Pathologist
1641 E OSBORN RD, SUITE 1
PHOENIX, AZ 85016
Maricopa County (602) 265-4124
MICHELLE LYNN ECKERT
Physical Therapist (Pediatrics)
1641 E OSBORN RD, SUITE 1
PHOENIX, AZ 85016
Maricopa County (602) 265-4124
ELIZABETH LIVENGOOD-ANDERSON NMD
Naturopath
1641 E OSBORN RD, 6
PHOENIX, AZ 85016
Maricopa County (602) 265-1774
PHOENIX HEALTH & WELLNESS CENTER INC.
Clinic/Center (Medical Specialty)
1641 E OSBORN RD, SUITE 6
PHOENIX, AZ 85016
Maricopa County (602) 870-8788
JERRY ROY JOHNSTONE L.M.T.
Massage Therapist
1641 E OSBORN RD, SUITE 6
PHOENIX, AZ 85016
Maricopa County (602) 265-1774
DR. JULIE ANN GORMAN NMD
Naturopath
1641 E OSBORN RD, SUITE 6
PHOENIX, AZ 85016
Maricopa County (602) 265-1774
STEPHANIE ANN BATES
Physical Therapist (Pediatrics)
1641 E OSBORN RD, STE 1
PHOENIX, AZ 85016
Maricopa County (602) 265-4124

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 Pediatras Arizona's NPI number?

The NPI number for Pediatras Arizona is 1427152164. It was assigned to this organization in the NPPES registry on September 12, 2006.

Where is Pediatras Arizona located?

Pediatras Arizona is located at 1641 E Osborn Rd Suite 3, Phoenix, AZ 85016. The listed phone number is (602) 218-6397.

What is Pediatras Arizona's specialty?

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

Does Pediatras Arizona hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1041200) is associated with this NPI, valid through May 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatras Arizona accept?

Health plans from Ambetter from Arizona Complete Health list Pediatras Arizona 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 Pediatras Arizona was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.