| Ashley Gefen, MD | |
| 
					1919 E Thomas Rd, Phoenix, AZ 85016-7710  | |
| (602) 933-0965 | |
| (602) 933-4610 | 
| Full Name | Ashley Gefen | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Nephrology | 
| Location | 1919 E Thomas Rd, Phoenix, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740636141 | NPI | - | NPPES | 
| 153433 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0210X | Pediatrics - Pediatric Nephrology | A176441 (California) | Secondary | 
| 2080P0210X | Pediatrics - Pediatric Nephrology | 69215 (Arizona) | Primary | 
| Entity Name | Childrens Hospital Los Angeles Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522  | 
| Entity Name | Faculty Physicians And Surgeons Of Llusm | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981  | 
| Entity Name | Faculty Physicians And Surgeons Of Llusm | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ashley Gefen, MD 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124  | Ashley Gefen, MD 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-0965  | 
Dr. Amit Rajaram, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0198  | |
Laura Gardner Hamant,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000  | |
Dr. Patricia Ranjinee Halpe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3141 N 3rd Ave, Phoenix, AZ 85013 Phone: 602-914-1520 Fax: 602-914-1521  | |
Dr. Angela Monique Valdez-huizar, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3333 E Van Buren St, Phoenix, AZ 85008 Phone: 602-933-0945 Fax: 602-933-4263  | |
Benjmamin Thomas Carlson, PTA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006  | |
Julianna Diddle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000  | |
Alexandra Palacios,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0945  |