CANYON PAIN AND WELLNESS PLLC
NPI 1164013900
Nurse Anesthetist, Certified Registered in Glendale, AZ
NPI Status: Active since February 02, 2021
Contact Information
6120 W BELL RD STE 100
GLENDALE, AZ
ZIP 85308
Phone: (602) 472-2157
- Organization
- Nurse Anesthetist, Certified Registered
- CLIA Number: 03D2205292
- CLIA Cert. Type: Other - OTC
- CLIA Exp. Date: 12-13-2026
About CANYON PAIN AND WELLNESS PLLC
This page provides the complete NPI Profile along with additional information for Canyon Pain And Wellness Pllc, a provider established in Glendale, Arizona operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1164013900 assigned on February 2021. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated February 2026. Canyon Pain And Wellness Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1164013900
- Provider Legal Name
- CANYON PAIN AND WELLNESS PLLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 6120 W BELL RD STE 100 GLENDALE, AZ 85308
- Location Phone
- (602) 472-2157
- Mailing Address
- 6120 W BELL RD STE 100 GLENDALE, AZ 85308
- Mailing Phone
- (602) 472-2157
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-02-2021
- Last Update Date
- 02-06-2026
- Code Navigator
Location Map
Secondary Locations
- 5948 W Kimberly Way
Glendale, AZ 85308
(602) 472-2157 - 18301 N 79th Ave Ste F170
Glendale, AZ 85308
(602) 325-2020
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
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WP0000X | Nursing Service Providers | Registered Nurse |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 03D2205292
- Facility Type
- Other - OTC
- Certificate Effective Date
- December 14, 2024
- Certificate Expiration Date
- December 13, 2026
- Laboratory Director
- ANTONY WAWERU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Canyon Pain And Wellness Pllc 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.
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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 1164013900, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164013900, enumerated as an "organization" on February 02, 2021.
The provider is located at 6120 W BELL RD STE 100 GLENDALE, AZ 85308 and the phone number is (602) 472-2157.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
