YUMA PEDIATRICS
NPI 1871653550
Pediatrics in Yuma, AZ

NPI Status: Active since December 11, 2006

Contact Information

2359 22ND DRIVE
SUITE 2
YUMA, AZ
ZIP 85364
Phone: (928) 344-4800
Fax: (928) 726-2377

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  • Organization
  • Pediatrics
  • CLIA Number: 03D0987885
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About YUMA PEDIATRICS

This page provides the complete NPI Profile along with additional information for Yuma Pediatrics, a pediatrician established in Yuma, Arizona operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1871653550 assigned on December 2006. The practitioner's primary taxonomy code is 208000000X with license number AZ22611 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Brenda Faye Tudor (Office Manager)

NPI
1871653550
Provider Name
YUMA PEDIATRICS
Entity Type
Organization
Location Address
2359 22ND DRIVE SUITE 2 YUMA, AZ 85364
Location Phone
(928) 344-4800
Location Fax
(928) 726-2377
Mailing Address
2359 22ND DRIVE SUITE 2 YUMA, AZ 85364
Mailing Phone
(928) 344-4800
Mailing Fax
(928) 726-2377
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2006
Last Update Date
08-22-2020
Code Navigator

A pediatrician like Yuma Pediatrics 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.

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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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
AZ22611
License State
AZ
Taxonomy Description
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.

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:

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

MRS. BRENDA FAYE TUDOR

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(928) 344-4800

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
AZ0715400OTHER (01)AZBCBC
186082 02MEDICAID (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
03D0987885
Facility Type
Community Clinic
Certificate Effective Date
June 15, 2001
Certificate Expiration Date
May 22, 2026
Laboratory Director
TAN NGUYEN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Yuma Pediatrics on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for YUMA PEDIATRICS

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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.
1871653550
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281411256510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 1 + 2 + 5 + 6 + 5 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1871653550 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174678577DR. DANIEL WAYNE CRAWFORD MD
Individual
Pediatrics2359 22ND DRIVE # 2
YUMA, AZ 85364
(928) 344-4800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871653550, enumerated in the NPI registry as an "organization" on December 11, 2006

The provider is located at 2359 22nd Drive Suite 2 Yuma, Az 85364 and the phone number is (928) 344-4800

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D0987885 for a "community clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on December 11, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.