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COOLIDGE PEDIATRICS
NPI 1700373180
Pediatrics in Coolidge, AZ

Active since April 20, 2018CLIA 03D2156995 · Waiver
299 W CENTRAL AVE STE B, COOLIDGE, AZ 85128(480) 792-9200(480) 792-9206 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coolidge Pediatrics NPPES

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

COOLIDGE PEDIATRICS (NPI 1700373180) is a healthcare organization registered as a pediatrics in Coolidge, Arizona and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Emilia Gomez-vieytez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700373180
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOOLIDGE PEDIATRICS
Location Address299 W CENTRAL AVE STE BCoolidge, AZ 85128-4726
Mailing Address22707 S Ellsworth Rd Ste H101Queen Creek, AZ 85142-7568 · (480) 792-9200 · Fax (480) 792-9206
Phone(480) 792-9200
Fax(480) 792-9206
Organization SubpartYesParent: Bethesda Pediatrics Of Queen Creek
Authorized OfficialEmilia Gomez-vieytezCeo · (480) 792-9200
Enumeration DateApril 20, 2018
✔ NPI 1700373180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 43623
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.

299 W CENTRAL AVE STE B, Coolidge, AZ 85128
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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

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 03D2156995

Coolidge Pediatrics · Coolidge, AZ
Active · expires Oct 28, 2026
CLIA Number03D2156995
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorEmilia Gomez-Vieytez
Laboratory Phone(480) 792-9200
Laboratory LocationCoolidge Pediatrics299 W Central Ave Ste B, Coolidge, AZ 85128
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Coolidge Pediatrics's NPI number?

The NPI number for Coolidge Pediatrics is 1700373180. It was assigned to this organization in the NPPES registry on April 20, 2018.

Where is Coolidge Pediatrics located?

Coolidge Pediatrics is located at 299 W Central Ave Ste B, Coolidge, AZ 85128. The listed phone number is (480) 792-9200.

What is Coolidge Pediatrics's specialty?

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

Does Coolidge Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2156995) is associated with this NPI, valid through October 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coolidge Pediatrics was last updated on April 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.