1. Home
  2. Directory
  3. Arizona
  4. Casa Grande
  5. Pediatrics
  6. NPI Profile

STARLIGHT PEDIATRIC PRIMARY CARE PLLC
NPI 1649825282
Pediatrics in Casa Grande, AZ

Active since August 08, 2019CLIA Certified · 2 labs
1215 N IVY LOOP, CASA GRANDE, AZ 85122(520) 510-0087(480) 821-9555 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2019, Aug 8, 2019 (2 updates tracked since 2019).

About Starlight Pediatric Primary Care Pllc NPPES

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

STARLIGHT PEDIATRIC PRIMARY CARE PLLC (NPI 1649825282) is a healthcare organization registered as a pediatrics in Casa Grande, Arizona and active in the NPI registry since August 2019. The organization holds 2 active CLIA laboratory certificates and lists Adebayo O Atolagbe, Partner, as its authorized official.

NPPES Registry Identity

NPI1649825282
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSTARLIGHT PEDIATRIC PRIMARY CARE PLLC
Location Address1215 N IVY LOOPCasa Grande, AZ 85122-5406
Mailing Address1215 N Ivy LoopCasa Grande, AZ 85122-5406 · (520) 510-0087 · Fax (480) 821-9555
Phone(520) 510-0087
Fax(480) 821-9555
Organization SubpartNo
Authorized OfficialAdebayo O AtolagbePartner · (205) 100-0875
Enumeration DateAugust 8, 2019
Last NPPES UpdateSeptember 25, 20192 updates tracked since enumeration
✔ NPI 1649825282 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.
1215 N IVY LOOP, Casa Grande, AZ 85122
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 03D2184859

Starlight Pediatric Primary Care · Casa Grande, AZ
Active · expires May 25, 2028
CLIA Number03D2184859
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorOnyia G. Uchenna
Laboratory Phone(520) 510-0087
Laboratory LocationStarlight Pediatric Primary Care1215 N Ivy Loop, Casa Grande, AZ 85122
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 03D2150528

Starlight Pediatrics Urgent Care PLLC · Casa Grande, AZ
Active · expires Jun 25, 2028
CLIA Number03D2150528
Laboratory TypePediatric Urgent Care
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorAdebayo O. Atolagbe
Laboratory Phone(520) 510-0087
Laboratory LocationStarlight Pediatrics Urgent Care PLLC1215 N Ivy Loop, Casa Grande, AZ 85122
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

STARLIGHT PEDIATRICS URGENT CARE, PLLC
Clinic/Center (Urgent Care)
1215 N IVY LOOP
CASA GRANDE, AZ 85122
Pinal County (347) 791-5827

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 Starlight Pediatric Primary Care PLLC's NPI number?

The NPI number for Starlight Pediatric Primary Care PLLC is 1649825282. It was assigned to this organization in the NPPES registry on August 8, 2019.

Where is Starlight Pediatric Primary Care PLLC located?

Starlight Pediatric Primary Care PLLC is located at 1215 N Ivy Loop, Casa Grande, AZ 85122. The listed phone number is (520) 510-0087.

What is Starlight Pediatric Primary Care PLLC's specialty?

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

Does Starlight Pediatric Primary Care 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 Starlight Pediatric Primary Care PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Starlight Pediatric Primary Care 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 Starlight Pediatric Primary Care PLLC was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.