Provider Demographics
NPI:1952411506
Name:YABES, CELIDA RANGEL
Entity Type:Individual
Prefix:MRS
First Name:CELIDA
Middle Name:RANGEL
Last Name:YABES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CELIDA
Other - Middle Name:
Other - Last Name:RANGEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9305 W THOMAS RD
Mailing Address - Street 2:STE 450
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037
Mailing Address - Country:US
Mailing Address - Phone:623-889-6186
Mailing Address - Fax:623-889-6188
Practice Address - Street 1:9305 W THOMAS RD
Practice Address - Street 2:STE 450
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037
Practice Address - Country:US
Practice Address - Phone:623-889-6186
Practice Address - Fax:623-889-6188
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34213208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0788280OtherCIGNA HEALTHCARE
5655373OtherCCN
AZAZ078820OtherBCBS
2Z3015OtherHEALTHNET MEDICARE PPO
AZ46677OtherBANNER CHOICE PLUS
AZ959223OtherAHCCCS
2Z3015OtherHEALTHNET POS
145458OtherGALAXY HEALTH NTWK
2Z3015OtherHEALTHNET PPO
AZ5655373OtherMERCY CARE
7672735OtherAETNA HEALTHCARE
AZAZ078820OtherTRICARE CHAMPUS