DR. TALA S DAJANI (NPI# 1679535405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679535405 |
| Entity Type | Individual |
| Full Name | DR. TALA S DAJANI |
| Credential | M.D., M.P.H |
| Practice Address |
15600 N Black Canyon Hwy Suite C-102 Phoenix AZ 85053-4055 |
| Mailing Address |
18631 N 19th Ave Suite 158-451 Phoenix AZ 85027-5299 |
| Practice Telephone | 6237484700 |
| Practice Fax Number | 6023573107 |
| Mailing Telephone | 6237484700 |
| Mailing Fax Number | 6023573107 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2016-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
28837 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE NUMBER | 107635 | 01 |
| AZ | 882284 | 05 |
| Street Address |
15600 N BLACK CANYON HWY SUITE C-102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85053-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730628967 | Valerie Nicole Coronado I | Pharmacist | 15600 N Black Canyon Hwy, Suite B135, Phoenix, AZ 85053-4055 | 2017-02-21 |
| 1154651966 | Pediatric Endocrinology of Phoenix | Clinic/Center | 15600 N Black Canyon Hwy, Ste 102, Phoenix, AZ 85053-4055 | 2009-12-30 |
| 1427213719 | Nurses Plus Healthcare LLC | Home Health | 15600 N Black Canyon Hwy, Ste C202, Phoenix, AZ 85053-4055 | 2008-07-25 |
| 1093996696 | Sonia S Mansukhani | Pharmacist | 15600 N Black Canyon Hwy, Suite # C 107, Phoenix, AZ 85053-4055 | 2007-11-25 |
| 1801906763 | Dawn Hoang | Pharmacist | 15600 N Black Canyon Hwy, C107, Phoenix, AZ 85053-4055 | 2006-08-30 |
| 1548370497 | Tailstorm Health LLC | Pharmacy | 15600 N Black Canyon Hwy, Ste B135, Phoenix, AZ 85053-4055 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065615 | Valley Addiction & Mental Health Services LLC | Nurse Practitioner | 16845 N. 29th Ave, Ste 1-211, Phoenix, AZ 85053 | 2018-12-18 |
| 1417439100 | Amanda M Sherwin | Dietitian, Registered | 15640 N 28h Drive, Phoenix, AZ 85053 | 2018-08-30 |
| 1568970135 | Sage Counseling, Inc. | Community/Behavioral Health | 2734 W Bell Rd., #1385 & 1390, Phoenix, AZ 85053 | 2018-01-17 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1043749302 | Jacob Stephen Lawrence | Occupational Therapy Assistant | 3116 W. Hartford Dr., Phoenix, AZ 85053 | 2017-06-08 |
| 1770022923 | Horizon Dental Group West Valley | Dentist | 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 | 2017-02-21 |
| 1235594938 | Linda Thi Trinh | Optometrist | 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 | 2015-12-22 |
| 1003230301 | Continuum Group West, LLC. | Clinic/Center | 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 | 2014-02-07 |
| 1831539410 | Michelle Lea Byers | Nurse Practitioner | 17624 North 31st Ave, Phoenix, AZ 85053 | 2013-06-27 |
| 1437446580 | Candace Faith Gershkovich | Dentist | 4235 W. Thunderbird Rd, Phoenix, AZ 85053 | 2011-07-08 |
| Find all providers in zip 85053 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619395357 | Robert Gonsalves IIi | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006 | 2014-03-31 |
| 1053653113 | Amanda Marie Campos | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2013-03-26 |
| 1518227016 | Melissa Anne Chambers | Pediatrics | 1919 E Thomas Rd, Phoenix Children's Hospital, Phoenix, AZ 85016-7710 | 2012-05-18 |
| 1962706317 | Payal S Patel | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008 | 2010-12-28 |
| 1215190863 | Areej K Younes | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2008-07-03 |
| 1265554612 | The Pediatric Endocrine Diabetes Clinic PC | Pediatrics | 333 W Thomas Rd, Suite 201, Phoenix, AZ 85013-4417 | 2007-04-05 |
| 1700994779 | Roger Earl Johnsonbaugh | Pediatrics | 3411 N 5th Ave, Suite 201, Phoenix, AZ 85013-3811 | 2006-08-29 |
| 1619902251 | Robert Ganelin | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-07-12 |
| 1235191727 | Mahmoud B Kabbani | Pediatrics | 3811 E Bell Rd, Suite 206, Phoenix, AZ 85032-2138 | 2006-04-03 |
| 1053372144 | Silvia Kaufmann | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2006-03-29 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.