PHOENIX CHILDREN'S AMBULATORY SPECIALTY CENTER - AVONDALE
NPI 1154660959
Clinic/Center - Multi-Specialty in Avondale, AZ
NPI Status: Active since February 14, 2013
Contact Information
1665 N AVONDALE BLVD
AVONDALE, AZ
ZIP 85392
Phone: (602) 933-0005
Fax: (602) 933-2478
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 03D2314054
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 11-11-2026
About PHOENIX CHILDREN'S AMBULATORY SPECIALTY CENTER - AVONDALE
This page provides the complete NPI Profile along with additional information for Phoenix Children's Ambulatory Specialty Center - Avondale, a provider established in Avondale, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1154660959 assigned on February 2013. The practitioner's primary taxonomy code is 261QM1300X with license number SH3107 (AZ). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Phoenix Children's Ambulatory Specialty Center - Avondale. The authorized official of this NPI record is Raheel Farough (Svp, Managed Care & Payer Strategy)
- NPI
- 1154660959
- Provider Legal Name
- PHOENIX CHILDREN'S MEDICAL GROUP
- Other Organization Name
- PHOENIX CHILDREN'S AMBULATORY SPECIALTY CENTER - AVONDALE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1665 N AVONDALE BLVD AVONDALE, AZ 85392
- Location Phone
- (602) 933-0005
- Location Fax
- (602) 933-2478
- Mailing Address
- 2108 E THOMAS RD STE 130 PHOENIX, AZ 85016
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-14-2013
- Last Update Date
- 05-22-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- SH3107
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 876253 | MEDICAID (05) | AZ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2314054
- Facility Type
- Ambulance
- Certificate Effective Date
- November 12, 2024
- Certificate Expiration Date
- November 11, 2026
- Laboratory Director
- STACY KENYON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Phoenix Children's Ambulatory Specialty Center - Avondale to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PHOENIX CHILDREN'S AMBULATORY SPECIALTY CENTER - AVONDALE
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154660959, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
AVONDALE, AZ 85392
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154660959, enumerated as an "organization" on February 14, 2013.
The provider is located at 1665 N AVONDALE BLVD AVONDALE, AZ 85392 and the phone number is (602) 933-0005.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
