Canyon Pediatrics, Inc
LBN: Canyon Pediatrics, Inc
Canyon Pediatrics, Inc is an health care organization with primary practice located at 2451 E Baseline Rd Suite 200, Gilbert AZ 85234-2471. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care, Managed Care Organizations / Health Maintenance Organization. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Canyon Pediatrics, Inc can be contacted via phone (480) 507-2213, or through Brubaker, Richard via phone (480) 776-7155.
Contact Information
Primary practice address
2451 E Baseline Rd Suite 200
Gilbert AZ 85234-2471
Phone: (480) 507-2213
Fax: (480) 626-6508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | 20136 | Arizona |
Profile Details
| NPI number | 1831185362 |
|---|---|
| LBN Legal business name | Canyon Pediatrics, Inc |
| DBA Doing business as | |
| Authorized official | Brubaker, Richard LMSW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Mar 28th, 2024 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831185362 | NPPES |
| Arizona | MEDICAID | 053504 | |
| Arizona | Other | AZ0889880 | |
| Arizona | Other | 2048349 | |
| Arizona | Other | 183427266 | |
| Arizona | Other | 6327185 | |
| Arizona | Other | 1Z5874 |
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