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Export Provider Record NPI 1043074610
Glendale Pediatrics Llc
Organization Subpart: NO
Active
NPI Number1043074610
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Primary Care
Provider Details
NPI1043074610
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2024-02-13
Last Updated2024-02-13
Authorized OfficialEnrique Lopez
Physician
Phone: 6238475300
Mailing Address6745 N 51st Dr
Glendale, AZ 85301-3425
United States
Phone: (623) 847-5300
📍 View Map
Primary Practice Address2929 N 75th Ave Ste 5&6
Phoenix, AZ 85033-5400
United States
Phone: (623) 873-1200 | Fax: (623) 847-5304
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No261QH0100X – Clinic/Center, Health Services--
Yes261QP2300X – Clinic/Center, Primary Care--
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About NPI 1043074610

Glendale Pediatrics Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1043074610. The primary specialty listed is Clinic/Center, Primary Care. The organization is located in Phoenix, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2024-02-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043074610?

NPI 1043074610 belongs to Glendale Pediatrics Llc, a Clinic/Center, Primary Care in Phoenix, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043074610 active?

The current status of NPI 1043074610 in the NPPES registry is Active. The record was last updated on 2024-02-13.

What specialty is NPI 1043074610?

NPI 1043074610 is classified under the taxonomy Clinic/Center, Primary Care. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043074610?

You can verify NPI 1043074610 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043074610?

The primary practice address on file for NPI 1043074610 is 2929 N 75th Ave Ste 5&6, Phoenix, AZ 85033-5400. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043074610 issued?

NPI 1043074610 was first issued (enumerated) on 2024-02-13. The NPPES record was last updated on 2024-02-13.

Practice Location Map

Glendale Pediatrics Llc is located at 2929 N 75th Ave Ste 5&6, Phoenix, AZ. Use the map below to find directions or verify the practice location.

📍 2929 N 75th Ave Ste 5&6, Phoenix, AZ 85033-5400  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Glendale Pediatrics Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162