Apache Junction Pediatrics
Apache Junction Pediatrics is a healthcare organization registered as Pediatrics Physician in Apache Junction, AZ, holding Type 2 (organization) NPI 1588866453 since 2007. The authorized official on file is Janet Gradle, Certified Pediatric Nurse Practione.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588866453 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Apache Junction Pediatrics |
| Practice address | 1075 S IDAHO RD, SUITE 206, Apache Junction, AZ, 85219 |
| Phone | 4808891234 |
| Enumeration date | 2007-06-04 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Janet Gradle |
|---|---|
| Title | Certified Pediatric Nurse Practione |
| Phone | 4808891234 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Secondary | 34596 | AZ |
| 208000000X | Pediatrics Physician | Secondary | 27900 | AZ |
| 208000000X | Pediatrics Physician | Secondary | 34587 | AZ |
| 208000000X | Pediatrics Physician | Primary | AP0241 | AZ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0763370 | Other | AZ | JB BC ID |
| 088674 | Medicaid | AZ | — |
| 971409 | Medicaid | AZ | — |
| F14456 | Medicaid | AZ | — |
| 524729 | Medicaid | AZ | — |
| AZ0427690 | Other | AZ | RL BC ID |
| 907397 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Apache Junction Pediatrics NPI: 1588866453 Taxonomy: 208000000X (Pediatrics Physician) Address: 1075 S IDAHO RD, SUITE 206, Apache Junction, AZ, 85219
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518952373 | Manu Bhakoo | Individual | Pediatrics Physician | Apache Junction, AZ |
| 1154338440 | Shannon Winn | Individual | Prosthetics Case Management | Apache Junction, AZ |
| 1710042957 | Janet Gradle | Individual | Pediatric Nurse Practitioner | Apache Junction, AZ |
| 1225208481 | Winn'S Orthotics & Prosthetics | Organization | Prosthetics Case Management | Apache Junction, AZ |
Verify this record
Cross-check NPI 1588866453 against the authoritative CMS record: view Apache Junction Pediatrics on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Apache Junction Pediatrics?
What is the NPI number for Apache Junction Pediatrics?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.