SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC
NPI 1841721461
Pediatrics - Pediatric Endocrinology in Mesa, AZ

NPI Status: Active since March 24, 2017

Contact Information

2204 S DOBSON RD
MESA, AZ
ZIP 85202
Phone: (480) 757-6457
Fax: (480) 378-7090

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  • Organization
  • Pediatrics
  • Pediatric Endocrinology
  • Accepts Insurance
  • CLIA Number: 03D2132924
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-28-2027

About SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC

This page provides the complete NPI Profile along with additional information for Sonoran Pediatric Endocrinology & Diabetes Institute, Plc, a pediatrician established in Mesa, Arizona operating as a Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1841721461 assigned on March 2017. The practitioner's primary taxonomy code is 2080P0205X with license number 49420 (AZ). The provider is registered as an organization and their NPI record was last updated 8 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 Brenda Gibbs Ba (Practice Manager)

NPI
1841721461
Provider Name
SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC
Entity Type
Organization
Location Address
2204 S DOBSON RD MESA, AZ 85202
Location Phone
(480) 757-6457
Location Fax
(480) 378-7090
Mailing Address
2149 E WARNER RD STE 102 TEMPE, AZ 85284
Mailing Phone
(480) 610-6159
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2017
Last Update Date
03-17-2018
Code Navigator

A pediatrician like Sonoran Pediatric Endocrinology & Diabetes Institute, Plc 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

Secondary Locations

  • 2149 E Warner Rd STE 102
    Tempe, AZ 85284
    (480) 610-6159

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 Pediatric Endocrinology

Taxonomy Code
2080P0205X
Type
Allopathic & Osteopathic Physicians
License No.
49420
License State
AZ
Taxonomy Description
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

BRENDA GIBBS BA

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(480) 757-6457

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
961725MEDICAID (05)AZ 

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
03D2132924
Facility Type
Physician Office
Certificate Effective Date
June 29, 2025
Certificate Expiration Date
June 28, 2027
Laboratory Director
ARUNA D. PODUVAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sonoran Pediatric Endocrinology & Diabetes Institute, Plc 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.

Reviews for SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC

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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 1841721461, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 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 4 → 8 7 → 14 → 5 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 8 + 1 + 1 + 4 + 2 + 2 + 4 + 1 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1841721461.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
2204 S DOBSON RD
MESA, AZ 85202
Surgery (Vascular Surgery)
2204 S DOBSON RD
MESA, AZ 85202
Physician Assistant (Medical)
2204 S DOBSON RD, SUITE 101
MESA, AZ 85202
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2204 S DOBSON RD, SUITE 204
MESA, AZ 85202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841721461, enumerated as an "organization" on March 24, 2017.

The provider is located at 2204 S DOBSON RD MESA, AZ 85202 and the phone number is (480) 757-6457.

Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.

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