MEDICARE: HAPPY KIDS PEDIATRICS P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	207Q00000X	Family Medicine Physician
3	363AM0700X	Medical Physician Assistant
4	363LF0000X	Family Nurse Practitioner
5	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1083805030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY KIDS PEDIATRICS P.C.

Provider Business Mailing Address
First Line	:	2033 E WARNER RD STE 109
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85284-3417
Country	:	US
Telephone Number	:	480-820-5525
Fax Number	:

Provider Business Practice Location Address
First Line	:	1345 E MAIN ST STE 103
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-8950
Country	:	US
Telephone Number	:	480-223-0290
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSE CARRAZCO
Credential	:	MD
Telephone Number	:	480-820-5525

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	08/17/2025

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