Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Multicare West, LLC

Organization Pediatrics Physician · NPI 1689272700

Pediatric Multicare West, LLC is a Pediatrics Physician in Lakeside, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

316 W White Mountain Blvd Ste A
Lakeside, AZ 85929
Phone: (928) 358-4620
Fax: (928) 358-5319
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1689272700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Raffle — Billing Manager · (928) 242-1503
NPI enumeratedOctober 12, 2020
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020
Mailing address316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929

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