GLENDALE PEDIATRICS & FAMILY CARE
NPI 1043074610
Clinic/Center - Primary Care in Phoenix, AZ

Q: What is Glendale Pediatrics LLC's NPI number?

The NPI number for Glendale Pediatrics LLC is 1043074610. It was assigned to this organization in the NPPES registry on February 13, 2024. The provider is doing business as Glendale Pediatrics & Family Care.

Q: What is Glendale Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 13, 2024CLIA Certified · 2 labs

2929 N 75TH AVE STE 5&6, PHOENIX, AZ 85033(623) 873-1200(623) 847-5304 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Glendale Pediatrics & Family Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDALE PEDIATRICS & FAMILY CARE (NPI 1043074610) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since February 2024. The organization holds 2 active CLIA laboratory certificates and lists Enrique Sion Lopez, Physician, as its authorized official.

NPPES Registry Identity

NPI1043074610

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameGLENDALE PEDIATRICS LLC

Location Address2929 N 75TH AVE STE 5&6Phoenix, AZ 85033-5400

Mailing Address6745 N 51st DrGlendale, AZ 85301-3425 · (623) 847-5300

Phone(623) 873-1200

Fax(623) 847-5304

Organization SubpartNo

Authorized OfficialEnrique Sion LopezPhysician · (623) 847-5300

Enumeration DateFebruary 13, 2024

NPPES CertifiedFebruary 13, 2024

✔ NPI 1043074610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

2929 N 75TH AVE STE 5&6, Phoenix, AZ 85033

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Other Names 1

Doing Business AsGlendale Pediatrics & Family Care

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1105938

Glendale Pediatrics, LLC · Phoenix, AZ

Active · expires Sep 30, 2027

CLIA Number03D1105938

Laboratory TypePhysician Office

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorEnrique S. Lopez, MD

Laboratory Phone(623) 873-1200

Laboratory LocationGlendale Pediatrics, LLC2929 N 75th Ave, Suite 5 & 6, Phoenix, AZ 85033

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D1074079

Glendale Pediatrics & Family Care · Glendale, AZ

Active · expires Sep 20, 2027

CLIA Number03D1074079

Laboratory TypePhysician Office

Certificate Effective DateSeptember 21, 2025

Certificate Expiration DateSeptember 20, 2027

Laboratory DirectorEnrique S. Lopez

Laboratory Phone(623) 847-5300

Laboratory LocationGlendale Pediatrics & Family Care6745 N 51st Drive, Glendale, AZ 85301

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glendale Pediatrics LLC's NPI number?

The NPI number for Glendale Pediatrics LLC is 1043074610. It was assigned to this organization in the NPPES registry on February 13, 2024. The provider is doing business as Glendale Pediatrics & Family Care.

Where is Glendale Pediatrics LLC located?

Glendale Pediatrics LLC is located at 2929 N 75th Ave Ste 5&6, Phoenix, AZ 85033. The listed phone number is (623) 873-1200.

What is Glendale Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Glendale Pediatrics LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Glendale Pediatrics LLC was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.