Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
NPI 1053474148
Clinic/Center - Methadone in Glendale, AZ

Q: What is Community Medical Services Arizona-Private, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since December 19, 2006CLIA 03D2147130 · Waiver

5002 W GLENDALE AVENUE, SUITES 101, 102, 103 AND 104, GLENDALE, AZ 85301(623) 233-1099(623) 243-7224 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Jun 10, 2024, Feb 10, 2024 and 4 more (7 updates tracked since 2018).

On this page

About Community Medical Services Arizona-private, Llc NPPES

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

COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC (NPI 1053474148), doing business as Community Medical Services-glendale, is a healthcare organization registered as a methadone in Glendale, Arizona and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Nick Stavros, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053474148

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameCOMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC

Location Address5002 W GLENDALE AVENUE, SUITES 101, 102, 103 AND 104Glendale, AZ 85301

Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886 · Fax (602) 248-8999

Phone(623) 233-1099

Fax(623) 243-7224

Organization SubpartNo

Authorized OfficialNick StavrosCeo · (602) 248-8886

Enumeration DateDecember 19, 2006

Last NPPES UpdateJuly 8, 20267 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1053474148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

5002 W GLENDALE AVENUE, Glendale, AZ 85301

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Other Names 1

Doing Business AsCommunity Medical Services-glendale

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 03D2147130

Community Medical Services - Glendale · Glendale, AZ

Active · expires Apr 12, 2028

CLIA Number03D2147130

Laboratory TypeOutpatient Treatment Prgm

Certificate Effective DateApril 13, 2026

Certificate Expiration DateApril 12, 2028

Laboratory DirectorJustin Abeyta

Laboratory Phone(623) 233-1099

Laboratory LocationCommunity Medical Services - Glendale5002 W Glendale Ave, Ste 101, Glendale, AZ 85301

CLIA data matches this NPI record on: Address Name Phone

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

515 services20 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

58 services18 patients

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 Community Medical Services Arizona-Private, LLC's NPI number?

The NPI number for Community Medical Services Arizona-Private, LLC is 1053474148. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Community Medical Services-Glendale.

Where is Community Medical Services Arizona-Private, LLC located?

Community Medical Services Arizona-Private, LLC is located at 5002 W Glendale Avenue Suites 101, 102, 103 And 104, Glendale, AZ 85301. The listed phone number is (623) 233-1099.

What is Community Medical Services Arizona-Private, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Community Medical Services Arizona-Private, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2147130) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Medical Services Arizona-Private, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Community Medical Services Arizona-Private, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Medical Services Arizona-Private, LLC was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.