NORTH GLENDALE REGENERATIVE MEDICINE PLLC
NPI 1083318604
Clinic/Center - Pain in Glendale, AZ

Active since March 28, 2023
18301 N 79TH AVE STE F168, GLENDALE, AZ 85308(623) 544-9090 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Glendale Regenerative Medicine Pllc NPPES

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

NORTH GLENDALE REGENERATIVE MEDICINE PLLC (NPI 1083318604) is a healthcare organization registered as a pain in Glendale, Arizona and active in the NPI registry since March 2023. The organization lists Seth Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1083318604
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameNORTH GLENDALE REGENERATIVE MEDICINE PLLC
Location Address18301 N 79TH AVE STE F168Glendale, AZ 85308-6045
Mailing Address18301 N 79th Ave Ste F168Glendale, AZ 85308-6045 · (623) 544-9090
Organization SubpartNo
Authorized OfficialSeth ClarkOwner · (623) 544-9090
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
NPI 1083318604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
18301 N 79TH AVE STE F168, Glendale, AZ 85308

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
18301 N 79TH AVE STE F168
GLENDALE, AZ 85308
Podiatrist
18301 N 79TH AVE STE F168
GLENDALE, AZ 85308
Clinic/Center (Ambulatory Surgical)
18301 N 79TH AVE STE F168
GLENDALE, AZ 85308
Counselor
18301 N 79TH AVE STE F168
GLENDALE, AZ 85308
Podiatrist (Foot & Ankle Surgery)
18301 N 79TH AVE STE F168
GLENDALE, AZ 85308
Clinic/Center (Pain)
18301 N 79TH AVE STE F168
GLENDALE, AZ 85308
Durable Medical Equipment & Medical Supplies
18301 N 79TH AVE STE F168
GLENDALE, AZ 85308
Clinic/Center (Pain)
18301 N 79TH AVE STE F168
GLENDALE, AZ 85308

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 North Glendale Regenerative Medicine PLLC's NPI number?

The NPI number for North Glendale Regenerative Medicine PLLC is 1083318604. It was assigned to this organization in the NPPES registry on March 28, 2023.

Where is North Glendale Regenerative Medicine PLLC located?

North Glendale Regenerative Medicine PLLC is located at 18301 N 79th Ave Ste F168, Glendale, AZ 85308. The listed phone number is (623) 544-9090.

What is North Glendale Regenerative Medicine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for North Glendale Regenerative Medicine PLLC was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.