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PINNACLE FAMILY MEDICINE PLC
NPI 1093590341
Family Medicine in Peoria, AZ

Active since August 25, 2023CLIA Certified · 2 labs
21753 N 77TH AVE, PEORIA, AZ 85382(623) 935-9600(623) 935-9602 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pinnacle Family Medicine Plc NPPES

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

PINNACLE FAMILY MEDICINE PLC (NPI 1093590341) is a healthcare organization registered as a family medicine in Peoria, Arizona and active in the NPI registry since August 2023. The organization holds 2 active CLIA laboratory certificates and lists Stacey Engstrom, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1093590341
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePINNACLE FAMILY MEDICINE PLC
Location Address21753 N 77TH AVEPeoria, AZ 85382-2110
Mailing Address21753 N 77th AvePeoria, AZ 85382-2110 · (623) 935-9600 · Fax (623) 935-9602
Phone(623) 935-9600
Fax(623) 935-9602
Organization SubpartYesParent: Pinnacle Family Medicine, Plc
Authorized OfficialStacey EngstromPractice Manager · (623) 935-9600
Enumeration DateAugust 25, 2023
NPPES CertifiedAugust 25, 2023
✔ NPI 1093590341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
21753 N 77TH AVE, Peoria, AZ 85382
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 03D2120594

Pinnacle Family Medicine · Peoria, AZ
Active · expires Dec 8, 2026
CLIA Number03D2120594
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorDavid J. Engstrom
Laboratory Phone(623) 935-9600
Laboratory LocationPinnacle Family Medicine21753 N 77th Ave, Peoria, AZ 85383
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1070702

Pinnacle Family Medicine · Litchfield Park, AZ
Active · expires Jan 13, 2027
CLIA Number03D1070702
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorDavid J. Engstrom, Do
Laboratory Phone(623) 935-9600
Laboratory LocationPinnacle Family Medicine14044 W Camelback Rd, Ste 204, Litchfield Park, AZ 85340
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TRINITY CARLENE HARSHBARGER
Physician Assistant
21753 N 77TH AVE
PEORIA, AZ 85382
Maricopa County (623) 935-9600

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 Pinnacle Family Medicine Plc's NPI number?

The NPI number for Pinnacle Family Medicine Plc is 1093590341. It was assigned to this organization in the NPPES registry on August 25, 2023.

Where is Pinnacle Family Medicine Plc located?

Pinnacle Family Medicine Plc is located at 21753 N 77th Ave, Peoria, AZ 85382. The listed phone number is (623) 935-9600.

What is Pinnacle Family Medicine Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pinnacle Family Medicine Plc 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 Pinnacle Family Medicine Plc was last updated on August 25, 2023. 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.