OrganizationActive
Specialty Pediatrics Lt
NPI 1467779355 · Medical Specialty Clinic/Center · Yuma, AZ
Provider details
- NPI number
- 1467779355
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Moinuddin Mokhashi, Member(928) 726-3009
- License
- 34699 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2851 S Ave B
Ste B
Yuma, AZ 85364-7726
Phone: (928) 726-3009
Fax: (928) 726-3019
Street-level locationGet directions
Mailing address
2851 S Ave B
Yuma, AZ 85364-7726
Registry dates
- Enumerated
- 2010-05-01
- Last updated
- 2010-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.