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DESERT WILLOW PEDIATRICS, PLLC.
NPI 1871041863
Pediatrics in Tucson, AZ

Active since September 19, 2016CLIA 03D0955733 · Waiver
6369 E TANQUE VERDE RD, SUITE 190, TUCSON, AZ 85715(520) 751-4124 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desert Willow Pediatrics, Pllc. NPPES

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

DESERT WILLOW PEDIATRICS, PLLC. (NPI 1871041863) is a healthcare organization registered as a pediatrics in Tucson, Arizona and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Joy B Peskin, President, as its authorized official.

NPPES Registry Identity

NPI1871041863
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDESERT WILLOW PEDIATRICS, PLLC.
Location Address6369 E TANQUE VERDE RD, SUITE 190Tucson, AZ 85715-3850
Mailing Address6369 E Tanque Verde Rd, Suite 190Tucson, AZ 85715-3850 · (520) 751-4124
Phone(520) 751-4124
Organization SubpartNo
Authorized OfficialJoy B PeskinPresident · (520) 751-4124
Enumeration DateSeptember 19, 2016
✔ NPI 1871041863 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.
6369 E TANQUE VERDE RD, Tucson, AZ 85715
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Other Identifiers 1

Other19520AZ · License

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 03D0955733

Desert Willow Pediatrics · Tucson, AZ
Active · expires Jan 6, 2027
CLIA Number03D0955733
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorJoy B. Peskin
Laboratory Phone(520) 751-4124
Laboratory LocationDesert Willow Pediatrics6369 E Tanque Verde, Suite 190, Tucson, AZ 85715
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

AUDREY HUBER
Behavior Technician
6369 E TANQUE VERDE RD
TUCSON, AZ 85715
Pima County (520) 276-1274
DR. JONATHAN R INSEL MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6369 E TANQUE VERDE RD, SUITE 150
TUCSON, AZ 85715
Pima County (520) 886-5534
SPORT INSTITUTE OF TUCSON PC
Specialist
6369 E TANQUE VERDE RD
TUCSON, AZ 85715
Pima County (520) 618-5500
DR. MELISSA M. MILLER M.D.
Pediatrics
6369 E TANQUE VERDE RD, SUITE 190
TUCSON, AZ 85715
Pima County (520) 751-4124
JOSE ESDRUBAL OROZCO NUNEZ
Behavior Technician
6369 E TANQUE VERDE RD
TUCSON, AZ 85715
Pima County (520) 276-1274
SIERRA WINGFIELD
Behavior Technician
6369 E TANQUE VERDE RD
TUCSON, AZ 85715
Pima County (520) 276-1274
DR. RONALD C. QUINTIA D.D.S.
Dentist (Oral and Maxillofacial Surgery)
6369 E TANQUE VERDE RD, SUITE 230
TUCSON, AZ 85715
Pima County (520) 290-6800
DAYANA TERAN
Behavior Technician
6369 E TANQUE VERDE RD
TUCSON, AZ 85715
Pima County (520) 276-1274

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 Desert Willow Pediatrics, PLLC.'s NPI number?

The NPI number for Desert Willow Pediatrics, PLLC. is 1871041863. It was assigned to this organization in the NPPES registry on September 19, 2016.

Where is Desert Willow Pediatrics, PLLC. located?

Desert Willow Pediatrics, PLLC. is located at 6369 E Tanque Verde Rd Suite 190, Tucson, AZ 85715. The listed phone number is (520) 751-4124.

What is Desert Willow Pediatrics, PLLC.'s specialty?

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

Does Desert Willow Pediatrics, PLLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0955733) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Desert Willow Pediatrics, PLLC. was last updated on September 19, 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.