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CANYON PAIN AND WELLNESS PLLC
NPI 1164013900
Nurse Anesthetist, Certified Registered in Glendale, AZ

Active since February 02, 2021CLIA 03D2205292 · Waiver
6120 W BELL RD STE 100, GLENDALE, AZ 85308(602) 472-2157 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 6, 2026, Jul 10, 2023, Feb 8, 2021 and 1 more (4 updates tracked since 2021).

About Canyon Pain And Wellness Pllc NPPES

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

CANYON PAIN AND WELLNESS PLLC (NPI 1164013900), doing business as Az Infusion Center Pllc, is a healthcare organization registered as a nurse anesthetist, certified registered in Glendale, Arizona and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through December 13, 2026, maintains 2 additional practice locations, and lists Antony K Waweru, Administrator, as its authorized official.

NPPES Registry Identity

NPI1164013900
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameCANYON PAIN AND WELLNESS PLLC
Location Address6120 W BELL RD STE 100Glendale, AZ 85308-3780
Mailing Address6120 W Bell Rd Ste 100Glendale, AZ 85308-3780 · (602) 472-2157
Phone(602) 472-2157
Organization SubpartNo
Authorized OfficialAntony K WaweruAdministrator · (602) 325-2020
Enumeration DateFebruary 2, 2021
Last NPPES UpdateFebruary 6, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1164013900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X
6120 W BELL RD STE 100, Glendale, AZ 85308
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Other Names 1

Former Legal Business NameAz Infusion Center Pllc

Secondary Practice Locations 2

Location 118301 N 79th Ave Ste F170Glendale, AZ 85308-6338 · Phone (602) 325-2020
Location 25948 W Kimberly WayGlendale, AZ 85308-7608 · Phone (602) 472-2157

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 03D2205292

Canyon Pain And Wellness PLLC Formerly Az Infusion Center PLLC · Glendale, AZ
Active · expires Dec 13, 2026
CLIA Number03D2205292
Laboratory TypeOtc
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorAntony Waweru
Laboratory Phone(602) 325-2020
Laboratory LocationCanyon Pain And Wellness PLLC Formerly Az Infusion Center PLLC6120 W Bell Rd, Glendale, AZ 85308
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MR. DOUGLAS DENNEY PA-C
Physician Assistant
6120 W BELL RD STE 100
GLENDALE, AZ 85308
Maricopa County (833) 263-3426
DR. GLENN RICHARD KUNSMAN DO
General Practice
6120 W BELL RD STE 100
GLENDALE, AZ 85308
Maricopa County (833) 263-3426
MEDICO
General Practice
6120 W BELL RD STE 100
GLENDALE, AZ 85308
Maricopa County (833) 263-3426

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 Canyon Pain And Wellness PLLC's NPI number?

The NPI number for Canyon Pain And Wellness PLLC is 1164013900. It was assigned to this organization in the NPPES registry on February 2, 2021. The provider was formerly known as AZ Infusion Center PLLC.

Where is Canyon Pain And Wellness PLLC located?

Canyon Pain And Wellness PLLC is located at 6120 W Bell Rd Ste 100, Glendale, AZ 85308. The listed phone number is (602) 472-2157.

What is Canyon Pain And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Does Canyon Pain And Wellness PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2205292) is associated with this NPI, valid through December 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Canyon Pain And Wellness PLLC was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.