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LANDERMA HEALTHCARE SERVICES
NPI 1215779020
Nurse Practitioner - Family in Glendale, AZ

Active since June 11, 2024CLIA 03D2349321 · Waiver
4494 W PEORIA AVE STE 115A RM 18, GLENDALE, AZ 85302(480) 809-1351(623) 321-7259 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 1, 2026, Jun 11, 2024 (2 updates tracked since 2024).

About Landerma Healthcare Services NPPES

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

LANDERMA HEALTHCARE SERVICES (NPI 1215779020) is a healthcare organization registered as a family in Glendale, Arizona and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through August 18, 2028 and lists Joseph Emmanuel Gallardo, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1215779020
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLANDERMA HEALTHCARE SERVICES
Location Address4494 W PEORIA AVE STE 115A RM 18Glendale, AZ 85302
Mailing Address2555 S 156th AveGoodyear, AZ 85338-3222 · (623) 329-8735 · Fax (623) 321-7259
Phone(480) 809-1351
Fax(623) 321-7259
Organization SubpartNo
Authorized OfficialJoseph Emmanuel GallardoNurse Practitioner · (623) 329-8735
Enumeration DateJune 11, 2024
Last NPPES UpdateApril 1, 20262 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1215779020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4494 W PEORIA AVE STE 115A RM 18, Glendale, AZ 85302
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Other Names 1

Doing Business AsLanderma Healthcare Services

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 03D2349321

Landerma Healthcare Services · Glendale, AZ
Active · expires Aug 18, 2028
CLIA Number03D2349321
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2026
Certificate Expiration DateAugust 18, 2028
Laboratory DirectorJoseph Gallardo
Laboratory Phone(623) 329-8735
Laboratory LocationLanderma Healthcare Services5620 W Thunderbird Rd Ste C2, Glendale, AZ 85306
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Landerma Healthcare Services's NPI number?

The NPI number for Landerma Healthcare Services is 1215779020. It was assigned to this organization in the NPPES registry on June 11, 2024.

Where is Landerma Healthcare Services located?

Landerma Healthcare Services is located at 4494 W Peoria Ave Ste 115A Rm 18, Glendale, AZ 85302. The listed phone number is (480) 809-1351.

What is Landerma Healthcare Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Landerma Healthcare Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2349321) is associated with this NPI, valid through August 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Landerma Healthcare Services was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.