1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Clinic Center
  6. NPI Profile

AZ PEDIATRIC CARE
NPI 1083783724
Clinic/Center - Primary Care in Phoenix, AZ

Active since November 07, 2006CLIA 03D1089883 · Waiver
9305 W THOMAS RD STE 410, PHOENIX, AZ 85037(602) 471-6521 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Az Pediatric Care NPPES

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

AZ PEDIATRIC CARE (NPI 1083783724) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Bernardo O Tan, Physician, as its authorized official.

NPPES Registry Identity

NPI1083783724
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAZ PEDIATRIC CARE
Location Address9305 W THOMAS RD STE 410Phoenix, AZ 85037-3369
Mailing Address5247 E Wagoner Rd, ScottsdaleScottsdale, AZ 85254-7635 · (602) 471-6521
Phone(602) 471-6521
Organization SubpartNo
Authorized OfficialBernardo O TanPhysician · (602) 471-6521
Enumeration DateNovember 7, 2006
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1083783724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AZ · 32141
9305 W THOMAS RD STE 410, Phoenix, AZ 85037
Open in Google Maps ↗

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 03D1089883

Az Pediatric Care · Phoenix, AZ
Active · expires Jun 5, 2027
CLIA Number03D1089883
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorBernardo O. Tan, MD
Laboratory Phone(623) 322-8906
Laboratory LocationAz Pediatric Care9305 W Thomas Rd #410, Phoenix, AZ 85037
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is AZ PEDIATRIC CARE's NPI number?

The NPI number assigned to this healthcare provider is 1083783724, enumerated as an "organization" on November 07, 2006.

Where is the provider located?

The provider is located at 9305 W THOMAS RD STE 410 PHOENIX, AZ 85037 and the phone number is (602) 471-6521.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.