CAMELBACK MOUNTAIN MEDICAL ASSOCIATES PC
NPI 1164776845
Family Medicine in Phoenix, AZ

Q: What is Camelback Mountain Medical Associates PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 02, 2012CLIA 03D0957406 · Waiver

120 E MONTEREY WAY, PHOENIX, AZ 85012(602) 266-4383(602) 266-4384 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Camelback Mountain Medical Associates Pc NPPES

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

CAMELBACK MOUNTAIN MEDICAL ASSOCIATES PC (NPI 1164776845) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Edward Griffin Cipolla, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1164776845

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCAMELBACK MOUNTAIN MEDICAL ASSOCIATES PC

Location Address120 E MONTEREY WAYPhoenix, AZ 85012-2618

Mailing Address120 E Monterey WayPhoenix, AZ 85012-2618 · (602) 266-4383 · Fax (602) 266-4384

Phone(602) 266-4383

Fax(602) 266-4384

Organization SubpartNo

Authorized OfficialEdward Griffin CipollaOwner/president · (602) 266-4383

Enumeration DateNovember 2, 2012

✔ NPI 1164776845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 2811

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

120 E MONTEREY WAY, Phoenix, AZ 85012

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Other Identifiers 3

Medicaid341769AZ

Medicare UPING19491AZ

Medicare PINZ61746AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 03D0957406

Camelback Mountain Medical Associates PC · Phoenix, AZ

Active · expires Feb 18, 2027

CLIA Number03D0957406

Laboratory TypePhysician Office

Certificate Effective DateFebruary 19, 2025

Certificate Expiration DateFebruary 18, 2027

Laboratory DirectorE G. Cipolla Do

Laboratory Phone(602) 266-4383

Laboratory LocationCamelback Mountain Medical Associates PC120 E Monterey Way, Phoenix, AZ 85012

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 2

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

JANNA T ROBERTS F.N.P

Nurse Practitioner (Family)

120 E MONTEREY WAY
PHOENIX, AZ 85012

Maricopa County (602) 266-4383

EDWARD GRIFFIN CIPOLLA DO

Family Medicine

120 E MONTEREY WAY
PHOENIX, AZ 85012

Maricopa County (602) 266-4383

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 Camelback Mountain Medical Associates PC's NPI number?

The NPI number for Camelback Mountain Medical Associates PC is 1164776845. It was assigned to this organization in the NPPES registry on November 2, 2012.

Where is Camelback Mountain Medical Associates PC located?

Camelback Mountain Medical Associates PC is located at 120 E Monterey Way, Phoenix, AZ 85012. The listed phone number is (602) 266-4383.

What is Camelback Mountain Medical Associates PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Camelback Mountain Medical Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0957406) is associated with this NPI, valid through February 18, 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 Camelback Mountain Medical Associates PC was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.