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AMERICAN FAMILY MEDICINE LLC
NPI 1164287124
Pediatrics in Phoenix, AZ

Active since February 19, 2024CLIA 03D2168693 · Waiver
5501 N 19TH AVE STE 218, PHOENIX, AZ 85015(602) 413-0431 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About American Family Medicine Llc NPPES

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

AMERICAN FAMILY MEDICINE LLC (NPI 1164287124) is a healthcare organization registered as a pediatrics in Phoenix, Arizona and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Alejandro E Lopez, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1164287124
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameAMERICAN FAMILY MEDICINE LLC
Location Address5501 N 19TH AVE STE 218Phoenix, AZ 85015-2452
Mailing Address1514 W Thomas RdPhoenix, AZ 85015-6101
Phone(602) 413-0431
Organization SubpartNo
Authorized OfficialAlejandro E LopezMedical Director · (832) 454-9989
Enumeration DateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1164287124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
5501 N 19TH AVE STE 218, Phoenix, AZ 85015
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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 03D2168693

American Family Medicine, LLC · Phoenix, AZ
Active · expires Jul 7, 2027
CLIA Number03D2168693
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorAlejandro E. Lopez
Laboratory Phone(602) 413-0431
Laboratory LocationAmerican Family Medicine, LLC5501 N 19th Ave Suite 218, Phoenix, AZ 85015
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

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

DR. XYOMARA EMMA RIVAS MD
Pediatrics
5501 N 19TH AVE STE 218
PHOENIX, AZ 85015
Maricopa County (602) 413-0431

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 American Family Medicine LLC's NPI number?

The NPI number for American Family Medicine LLC is 1164287124. It was assigned to this organization in the NPPES registry on February 19, 2024.

Where is American Family Medicine LLC located?

American Family Medicine LLC is located at 5501 N 19th Ave Ste 218, Phoenix, AZ 85015. The listed phone number is (602) 413-0431.

What is American Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does American Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2168693) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for American Family Medicine LLC was last updated on February 19, 2024. 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.