Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417452632 Individual Practitioner Female Practitioner

Amanda Mancilla

Pediatrics • Glendale, AZ

Professional Overview & Biography Verified Profile Summary

Amanda Mancilla is a registered healthcare professional specializing in Pediatrics in Glendale, AZ. Practice services are available at 20325 N 51ST AVE STE 116 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20325 N 51st Ave Ste 116

Glendale, AZ 853085665

Telephone 6029331010
Fax 6029335395
Associated Practice Facility / Clinic
🏢 Phoenix Children's Hospital Facility NPI 1760480503

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Glendale, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
37 Specialists

Practicing in Glendale, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-16
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 70186

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MD D94210

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
187918 (AZ)

Secondary Practice Locations

300 Community Dr

Manhasset, NY 110303816

Phone: 5165620100

10084 Reisterstown Rd Ste 200b

Owings Mills, MD 211174096

Phone: 4105267993

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1922794619

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 16, 2024

Registered at 20325 N 51ST AVE STE 116, GLENDALE, AZ 853085665 (Tel: 6029331010)

📍
Updated Business Mailing Address January 16, 2024

Registered at 2108 E THOMAS RD STE 130, PHOENIX, AZ 850160008 (Tel: 6029333124)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2024

Pediatrics (License #D94210 in MD)

📍
Updated Practice Location June 15, 2022

Registered at 10084 REISTERSTOWN RD STE 200B, OWINGS MILLS, MD 211174096 (Tel: 4105267993)

NPI Profile Active March 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2018

Registered at 300 COMMUNITY DR, MANHASSET, NY 110303816 (Tel: 5165620100)

📍
Updated Business Mailing Address March 28, 2018

Registered at 300 COMMUNITY DR, MANHASSET, NY 110303816 (Tel: 5165620100)

👤
Provider Name / Credentials Updated March 28, 2018

Recorded as AMANDA MANCILLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417452632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2018
Last Update: January 16, 2024
Sole Proprietor: No

Mailing Address

2108 E Thomas Rd Ste 130

Phoenix, AZ 850160008

Phone: 6029333124

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.