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FORWARD CARE FAMILY PRACTICE, PLLC
NPI 1205435880
Physician Assistant in Glendale, AZ

Active since October 23, 2020CLIA 03D2204214 · Waiver
7800 N 55TH AVE, GLENDALE, AZ 85301(602) 373-8968 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2020, Oct 23, 2020 (2 updates tracked since 2020).

About Forward Care Family Practice, Pllc NPPES

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

FORWARD CARE FAMILY PRACTICE, PLLC (NPI 1205435880) is a healthcare organization registered as a physician assistant in Glendale, Arizona and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Ellana Davidov, Authorized Official/owner, as its authorized official.

NPPES Registry Identity

NPI1205435880
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameFORWARD CARE FAMILY PRACTICE, PLLC
Location Address7800 N 55TH AVEGlendale, AZ 85301-1321
Mailing Address2428 W Woburn LnPhoenix, AZ 85085-5031 · (602) 373-8968
Phone(602) 373-8968
Organization SubpartNo
Authorized OfficialEllana DavidovAuthorized Official/owner · (602) 373-8968
Enumeration DateOctober 23, 2020
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1205435880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7800 N 55TH AVE, Glendale, AZ 85301
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 03D2204214

Forward Care Family Practice · Glendale, AZ
Active · expires Dec 7, 2026
CLIA Number03D2204214
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorEllana Davidov
Laboratory Phone(602) 718-1962
Laboratory LocationForward Care Family Practice7800 N 55th Ave Ste 106, Glendale, AZ 85301
CLIA data matches this NPI record on: Address Name
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.

MISS LAURA MARGARET DUKE
Nurse Practitioner (Pediatrics)
7800 N 55TH AVE, SUITE 106
GLENDALE, AZ 85301
Maricopa County (623) 931-5001

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 Forward Care Family Practice, PLLC's NPI number?

The NPI number for Forward Care Family Practice, PLLC is 1205435880. It was assigned to this organization in the NPPES registry on October 23, 2020.

Where is Forward Care Family Practice, PLLC located?

Forward Care Family Practice, PLLC is located at 7800 N 55th Ave, Glendale, AZ 85301. The listed phone number is (602) 373-8968.

What is Forward Care Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Forward Care Family Practice, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2204214) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forward Care Family Practice, PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Forward Care Family Practice, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Forward Care Family Practice, PLLC was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.