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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: August 09, 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
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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 NPPES & CMS

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

What is Az Pediatric Care's NPI number?

The NPI number for Az Pediatric Care is 1083783724. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Az Pediatric Care located?

Az Pediatric Care is located at 9305 W Thomas Rd Ste 410, Phoenix, AZ 85037. The listed phone number is (602) 471-6521.

What is Az Pediatric Care's specialty?

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

Does Az Pediatric Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1089883) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Az Pediatric Care was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.