AMERICAN FAMILY MEDICINE LLC
NPI 1164287124
Pediatrics in Phoenix, AZ

NPI Status: Active since February 19, 2024

Contact Information

5501 N 19TH AVE STE 218
PHOENIX, AZ
ZIP 85015
Phone: (602) 413-0431

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  • Organization
  • Pediatrics
  • CLIA Number: 03D2168693
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-07-2027

About AMERICAN FAMILY MEDICINE LLC

This page provides the complete NPI Profile along with additional information for American Family Medicine Llc, a pediatrician established in Phoenix, Arizona operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1164287124 assigned on February 2024. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. American Family Medicine Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Alejandro E Lopez (Medical Director)

NPI
1164287124
Provider Name
AMERICAN FAMILY MEDICINE LLC
Entity Type
Organization
Location Address
5501 N 19TH AVE STE 218 PHOENIX, AZ 85015
Location Phone
(602) 413-0431
Mailing Address
1514 W THOMAS RD PHOENIX, AZ 85015
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2024
Last Update Date
02-19-2024
Code Navigator

A pediatrician like American Family Medicine Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
2363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALEJANDRO E LOPEZ

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(832) 454-9989

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
03D2168693
Facility Type
Physician Office
Certificate Effective Date
July 08, 2025
Certificate Expiration Date
July 07, 2027
Laboratory Director
ALEJANDRO E. LOPEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to American Family Medicine Llc 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 1164287124, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 2 → 4 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 4 + 8 + 1 + 4 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1164287124.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pediatrics
5501 N 19TH AVE STE 218
PHOENIX, AZ 85015
Nurse Practitioner (Family)
5501 N 19TH AVE STE 218
PHOENIX, AZ 85015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164287124, enumerated as an "organization" on February 19, 2024.

The provider is located at 5501 N 19TH AVE STE 218 PHOENIX, AZ 85015 and the phone number is (602) 413-0431.

Pediatrics with taxonomy code 208000000X.