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Active NPI 1346730751 Individual Practitioner Female Practitioner

Sidney Lakusta-Wong

Pediatrics • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Sidney Lakusta-Wong is a registered healthcare professional specializing in Pediatrics in Phoenix, AZ. Practice services are available at 2601 E ROOSEVELT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2601 E Roosevelt St

Phoenix, AZ 850084973

Telephone 6023445011
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
440 Specialists

Practicing in Phoenix, AZ (1353 Statewide)

Telehealth Adoption Rate
0.2% 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: 2023-02-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 68487

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 CA A163866

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Owen Mccabe , MD

Surgery - Trauma Surgery

NPI 1003227232

Doctor of Medicine (M.D.)

Brigham Nicoll

Psychiatry & Neurology - Psychiatry

NPI 1003260233
Kevin Yang

Psychiatry & Neurology - Psychiatry

NPI 1003347345
Dr. Gaby Iskander , MD

Surgery - Surgical Critical Care

NPI 1013018845

Doctor of Medicine (M.D.)

Dr. Kate Gillpatrick , DO

Psychiatry & Neurology - Psychiatry

NPI 1013346261

Doctor of Osteopathic Medicine (D.O.)

Varun Gupta

Student in an Organized Health Care Education/Training Program

NPI 1013603877

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 24, 2023

Registered at 2601 E ROOSEVELT ST, PHOENIX, AZ 850084973 (Tel: 6023445011)

📍
Updated Business Mailing Address February 24, 2023

Registered at 2929 E THOMAS RD, PHOENIX, AZ 850168034 (Tel: 6024705000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2023

Pediatrics (License #68487 in AZ)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2021

Pediatrics (License #A163866 in CA)

NPI Profile Active May 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2018

Registered at 11234 ANDERSON STREET, LOMA LINDA UNIVERISTY HEALTH PEDIATRIC RESIDENCY, LOMA LINDA, CA 92354 (Tel: 9095584174)

📍
Updated Business Mailing Address May 11, 2018

Registered at 11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C', LINDA LINDA, CA 92354

👤
Provider Name / Credentials Updated May 11, 2018

Recorded as SIDNEY LAKUSTA-WONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 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: 1346730751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2018
Last Update: February 24, 2023
Sole Proprietor: No

Mailing Address

2929 E Thomas Rd

Phoenix, AZ 850168034

Phone: 6024705000

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.