DR B'S CHILDRENS OFFICE
NPI 1801064753
Clinic/Center in Phoenix, AZ

NPI Status: Active since February 13, 2008

Contact Information

4524 N MARYVALE PKWY
SUITE 110
PHOENIX, AZ
ZIP 85031
Phone: (623) 845-9009
Fax: (623) 845-6933

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 03D1082869
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-20-2026

About DR B'S CHILDRENS OFFICE

This page provides the complete NPI Profile along with additional information for Dr B's Childrens Office, a provider established in Phoenix, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1801064753 assigned on February 2008. The practitioner's primary taxonomy code is 261Q00000X with license number 17010 (AZ). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Dr B's Childrens Office. The authorized official of this NPI record is Dr. Jaime Balderrama M.d. (Ceo)

NPI
1801064753
Provider Legal Name
PEDIATRIA
Other Organization Name
DR B'S CHILDRENS OFFICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4524 N MARYVALE PKWY SUITE 110 PHOENIX, AZ 85031
Location Phone
(623) 845-9009
Location Fax
(623) 845-6933
Mailing Address
4524 N MARYVALE PKWY SUITE 110 PHOENIX, AZ 85031
Mailing Phone
(623) 845-9009
Mailing Fax
(623) 845-6933
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2008
Last Update Date
02-13-2008
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
17010
License State
AZ
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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
  • Clear Silver - 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

*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

DR. JAIME BALDERRAMA M.D.

Authorized Official Title
CEO
Authorized Official Phone
(623) 845-9009

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
03D1082869
Facility Type
Physician Office
Certificate Effective Date
April 21, 2024
Certificate Expiration Date
April 20, 2026
Laboratory Director
JAMIE A. BALDERRAMA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dr B's Childrens Office 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 DR B'S CHILDRENS OFFICE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801064753
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801068710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 0 + 6 + 8 + 7 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1801064753 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1578555223 WILLIAM B ROBEY M.D.
Individual
Family Medicine4524 N MARYVALE PKWY STE 220
PHOENIX, AZ 85031
(623) 846-7553
1457344715 JAIME A BALDERRAMA MD
Individual
Pediatrics4524 N MARYVALE PKWY SUITE 110
PHOENIX, AZ 85031
(623) 845-9009
1780651737 PIERRE CLAUDE GILLES MD
Individual
Surgery4524 N MARYVALE PKWY SUITE 220
PHOENIX, AZ 85031
(623) 535-4582
1730428517ARIZONA'S CHILDREN ASSOCIATION
Organization
Clinic/Center (Adolescent and Children Mental Health)4524 N MARYVALE PKWY SUITES 220, 260 & 280
PHOENIX, AZ 85031
(623) 414-4325

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801064753, enumerated in the NPI registry as an "organization" on February 13, 2008

The provider is located at 4524 N Maryvale Pkwy Suite 110 Phoenix, Az 85031 and the phone number is (623) 845-9009

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D1082869 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on February 13, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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