PHOENIX CHILDREN'S HOSPITAL MEDICAL CREWS VAN
NPI 1295028587
Pediatrics in Phoenix, AZ

Active since May 19, 2011CLIA 03D0979798 · Waiver
3333 E VAN BUREN ST, PHOENIX, AZ 85008(602) 933-0945(602) 933-4263 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2023, Apr 21, 2022, Jul 9, 2019 and 2 more (5 updates tracked since 2016).

About Phoenix Children's Hospital Medical Crews Van NPPES

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

PHOENIX CHILDREN'S HOSPITAL MEDICAL CREWS VAN (NPI 1295028587) is a healthcare organization registered as a pediatrics in Phoenix, Arizona and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Raheel Farough, Svp, Managed Care & Payor Strategy, as its authorized official.

NPPES Registry Identity

NPI1295028587
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePHOENIX CHILDREN'S HOSPITAL
Location Address3333 E VAN BUREN STPhoenix, AZ 85008-6812
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008
Fax(602) 933-4263
Organization SubpartYes
Authorized OfficialRaheel FaroughSvp, Managed Care & Payor Strategy · (602) 933-3548
Enumeration DateMay 19, 2011
Last NPPES UpdateMay 22, 20235 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
NPI 1295028587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in AZ · SH3107
Definition
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.
3333 E VAN BUREN ST, Phoenix, AZ 85008

Other Names 1

Doing Business AsPhoenix Children's Hospital Medical Crews Van

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 03D0979798

Phoenix Children's Hospital Umom New Day Wellness Clinic · Phoenix, AZ
Active · expires Oct 30, 2026
CLIA Number03D0979798
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorStacy Kenyon
Laboratory Phone(602) 933-1280
Laboratory LocationPhoenix Children's Hospital Umom New Day Wellness Clinic3333 E Van Buren, Phoenix, AZ 85008
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 7

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

Pediatrics
3333 E VAN BUREN ST
PHOENIX, AZ 85008
Physician Assistant
3333 E VAN BUREN ST
PHOENIX, AZ 85008
Social Worker (Clinical)
3333 E VAN BUREN ST
PHOENIX, AZ 85008
Clinic/Center (Federally Qualified Health Center (FQHC))
3333 E VAN BUREN ST
PHOENIX, AZ 85008
Pediatrics
3333 E VAN BUREN ST
PHOENIX, AZ 85008
Pediatrics
3333 E VAN BUREN ST
PHOENIX, AZ 85008
Nurse Practitioner (Family)
3333 E VAN BUREN ST
PHOENIX, AZ 85008

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's NPI number?

The NPI number for Phoenix Children's Hospital is 1295028587. It was assigned to this organization in the NPPES registry on May 19, 2011. The provider is doing business as Phoenix Children's Hospital Medical Crews Van.

Where is Phoenix Children's Hospital located?

Phoenix Children's Hospital is located at 3333 E Van Buren St, Phoenix, AZ 85008. The listed phone number is (602) 933-0945.

What is Phoenix Children's Hospital's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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

Yes. A Certificate of Waiver (number 03D0979798) is associated with this NPI, valid through October 30, 2026. 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 was last updated on May 22, 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.