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PHOENIX CHILDREN'S AMBULATORY SPECIALTY CENTER - AVONDALE
NPI 1154660959
Clinic/Center - Multi-Specialty in Avondale, AZ

Active since February 14, 2013
1665 N AVONDALE BLVD, AVONDALE, AZ 85392(602) 933-0005(602) 933-2478 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2023, Apr 21, 2022, Jul 9, 2019 and 2 more (5 updates tracked since 2016).

About Phoenix Children's Ambulatory Specialty Center - Avondale NPPES

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

PHOENIX CHILDREN'S AMBULATORY SPECIALTY CENTER - AVONDALE (NPI 1154660959) is a healthcare organization registered as a multi-specialty in Avondale, Arizona and active in the NPI registry since February 2013. The organization lists Raheel Farough, Svp, Managed Care & Payer Strategy, as its authorized official.

NPPES Registry Identity

NPI1154660959
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePHOENIX CHILDREN'S MEDICAL GROUP
Location Address1665 N AVONDALE BLVDAvondale, AZ 85392-5003
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008
Phone(602) 933-0005
Fax(602) 933-2478
Organization SubpartYesParent: Phoenix Children's Hospital, Inc.
Authorized OfficialRaheel FaroughSvp, Managed Care & Payer Strategy · (602) 933-3548
Enumeration DateFebruary 14, 2013
Last NPPES UpdateMay 22, 20235 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1154660959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in AZ · SH3107
1665 N AVONDALE BLVD, Avondale, AZ 85392
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Other Names 1

Other NamePhoenix Children's Ambulatory Specialty Center - Avondale

Other Identifiers 1

Medicaid876253AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. JENNIFER NICOLE MARTINEZ DPT
Physical Therapist
1665 N AVONDALE BLVD
AVONDALE, AZ 85392
Maricopa County (602) 933-6084
JENNA MAE WARNER MS CCC-SLP
Speech-Language Pathologist
1665 N AVONDALE BLVD
AVONDALE, AZ 85392
Maricopa County (603) 933-6086
BRIANNE J BUTCHER PHD
Clinical Neuropsychologist
1665 N AVONDALE BLVD
AVONDALE, AZ 85392
Maricopa County (602) 933-0005
PHOENIX CHILDREN'S HOSPITAL, INC.
Clinic/Center (Urgent Care)
1665 N AVONDALE BLVD
AVONDALE, AZ 85392
Maricopa County (602) 933-0005
JOEL PHILLIP MEDRANO
Nurse Practitioner (Adult Health)
1665 N AVONDALE BLVD
AVONDALE, AZ 85392
Maricopa County (602) 933-1000

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 Phoenix Children's Medical Group's NPI number?

The NPI number for Phoenix Children's Medical Group is 1154660959. It was assigned to this organization in the NPPES registry on February 14, 2013. The provider is also known as Phoenix Children's Ambulatory Specialty Center - Avondale.

Where is Phoenix Children's Medical Group located?

Phoenix Children's Medical Group is located at 1665 N Avondale Blvd, Avondale, AZ 85392. The listed phone number is (602) 933-0005.

What is Phoenix Children's Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Phoenix Children's Medical Group accept?

Health plans from Medica list Phoenix Children's Medical Group 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 Phoenix Children's Medical Group was last updated on May 22, 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.