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PHOENIX CHILDREN'S SURGERY CENTER - EAST VALLEY
NPI 1275886434
General Acute Care Hospital - Children in Mesa, AZ

Active since October 24, 2012CLIA 03D1074669 · Accreditation
5131 E SOUTHERN AVE, MESA, AZ 85206(602) 933-0002(602) 933-6216 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: May 18, 2023, Apr 21, 2022, Jul 9, 2019 and 2 more (5 updates tracked since 2016).

About Phoenix Children's Surgery Center - East Valley NPPES

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

PHOENIX CHILDREN'S SURGERY CENTER - EAST VALLEY (NPI 1275886434) is a healthcare organization registered as a children in Mesa, Arizona and active in the NPI registry since October 2012. The organization holds an CLIA Accreditation certificate valid through March 18, 2028 and lists Raheel Farough, Svp, Managed Care & Payer Strategy, as its authorized official.

NPPES Registry Identity

NPI1275886434
Entity TypeOrganization
Primary Taxonomy282NC2000X
Legal Business NamePHOENIX CHILDREN'S HOSPITAL, INC.
Location Address5131 E SOUTHERN AVEMesa, AZ 85206-2799
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-7761
Phone(602) 933-0002
Fax(602) 933-6216
Organization SubpartYesParent: Phoenix Children's Hospital
Authorized OfficialRaheel FaroughSvp, Managed Care & Payer Strategy · (602) 933-3548
Enumeration DateOctober 24, 2012
Last NPPES UpdateMay 18, 20235 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1275886434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · ChildrenHospitals
Taxonomy Code282NC2000X
License✔ Licensed in AZ · SH3107
5131 E SOUTHERN AVE, Mesa, AZ 85206
Open in Google Maps ↗

Other Names 1

Doing Business AsPhoenix Children's Surgery Center - East Valley

Other Identifiers 2

Medicaid706707AZ
Medicaid876253AZ

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 Accreditation 03D1074669

Phoenix Children's Hospital-East Valley · Mesa, AZ
Active · expires Mar 18, 2028
CLIA Number03D1074669
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorDr. Stacy Kenyon
Laboratory Phone(480) 833-5437
Laboratory LocationPhoenix Children's Hospital-East Valley5131 E Southern Avenue, Mesa, AZ 85206
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 13

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

DR. MICHAEL HAYNES D.O.
Pediatrics
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
ADRIANNA SALAZAR CCC-SLP
Speech-Language Pathologist
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (480) 707-3322
KARL M. BAUMGARTNER MD
Pediatrics
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (480) 833-5437
PHOENIX CHILDREN'S HOSPITAL, INC.
Clinic/Center (Urgent Care)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
MCKENNA TAMMO PA-C
Physician Assistant
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
JAMES ALTON WILLIAMS MD
Pediatrics (Pediatric Hematology-Oncology)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 546-0920
PHOENIX CHILDREN'S MEDICAL GROUP
Clinic/Center (Multi-Specialty)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
SANJAY J SHAH MD
Pediatrics (Pediatric Hematology-Oncology)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002

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 Phoenix Children's Hospital, Inc.'s NPI number?

The NPI number for Phoenix Children's Hospital, Inc. is 1275886434. It was assigned to this organization in the NPPES registry on October 24, 2012. The provider is doing business as Phoenix Children's Surgery Center - East Valley.

Where is Phoenix Children's Hospital, Inc. located?

Phoenix Children's Hospital, Inc. is located at 5131 E Southern Ave, Mesa, AZ 85206. The listed phone number is (602) 933-0002.

What is Phoenix Children's Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Children, with taxonomy code 282NC2000X.

Does Phoenix Children's Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 03D1074669) is associated with this NPI, valid through March 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 Phoenix Children's Hospital, Inc. was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.