| Sandlot Pediatrics & Young Adults, Llc | |
| 
					2600 E Southern Ave Bldg H Tempe AZ 85282-7610  | |
| (480) 699-7248 | |
| (480) 664-1961 | 
| Full Name | Sandlot Pediatrics & Young Adults, Llc | 
|---|---|
| Speciality | Pediatrics | 
| Location | 2600 E Southern Ave, Tempe, Arizona | 
| Authorized Official Name and Position | Nicolas Antonio Gonzalez (PHYSICIAN) | 
| Authorized Official Contact | 4806997248 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sandlot Pediatrics & Young Adults, Llc 2600 E Southern Ave Bldg- H Tempe AZ 85282 Ph: (480) 699-7248  | Sandlot Pediatrics & Young Adults, Llc 2600 E Southern Ave Bldg H Tempe AZ 85282-7610 Ph: (480) 699-7248  | 
| NPI Number | 1285957134 | 
|---|---|
| Provider Enumeration Date | 03/08/2010 | 
| Last Update Date | 09/11/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285957134 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arizona) | Secondary | 
| 208000000X | Pediatrics | 29730 (Arizona) | Primary | 
Healthfirst Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2153 E Baseline Rd Ste 101, Tempe, AZ 85283 Phone: 480-820-1855 Fax: 480-820-8451  | |
Sellerssportsmed Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1840 E Baseline Rd Ste C2, Tempe, AZ 85283 Phone: 480-751-3777 Fax: 480-751-3785  | |
Arizona Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2127 E Baseline Rd, 104, Tempe, AZ 85283 Phone: 480-897-7070 Fax: 480-897-2597  | |
Az Lab, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2210 S Mill Ave, 8, Tempe, AZ 85282 Phone: 623-242-0346  | |
Kidney Guardian Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 436 E Southern Ave, Tempe, AZ 85282 Phone: 480-297-7361 Fax: 602-207-8899  | |
East Valley Primary Care Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4515 S Mcclintock Dr, Ste 100, Tempe, AZ 85282 Phone: 480-820-1133 Fax: 480-820-9292  | |
Heavens Medical Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4450 S Rural Rd Ste A210, Tempe, AZ 85282 Phone: 623-444-2734  |