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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FAMILY TREE HEALTHCARE LLC
NPI 1336500636
Family Medicine in Phoenix, AZ

Active since March 14, 2016CLIA Certified · 2 labs
7002 S CENTRAL AVE, PHOENIX, AZ 85042(602) 449-4221(602) 268-6298 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2026, May 7, 2025, Apr 11, 2025 and 7 more (10 updates tracked since 2016).

About Family Tree Healthcare Llc NPPES

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

FAMILY TREE HEALTHCARE LLC (NPI 1336500636) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since March 2016. The organization holds 2 active CLIA laboratory certificates and lists Hector Reyes, President Clinic Operations, as its authorized official.

NPPES Registry Identity

NPI1336500636
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY TREE HEALTHCARE LLC
Location Address7002 S CENTRAL AVEPhoenix, AZ 85042-5423
Mailing Address7002 S Central AvePhoenix, AZ 85042-5423 · (602) 499-4221 · Fax (623) 284-1588
Phone(602) 449-4221
Fax(602) 268-6298
Organization SubpartNo
Authorized OfficialHector ReyesPresident Clinic Operations · (602) 499-4221
Enumeration DateMarch 14, 2016
Last NPPES UpdateJuly 17, 202610 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1336500636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
7002 S CENTRAL AVE, Phoenix, AZ 85042
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Other Identifiers 2

Medicaid028879AZ
Medicaid854053AZ

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 2

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 03D2126120

Family Tree Health Care · Phoenix, AZ
Active · expires Feb 20, 2027
CLIA Number03D2126120
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorEdmond L. Baker
Laboratory Phone(602) 499-4221
Laboratory LocationFamily Tree Health Care7002 S Central Ave, Phoenix, AZ 85042
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2332390

Family Tree Healthcare · Phoenix, AZ
Active · expires Oct 19, 2027
CLIA Number03D2332390
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorEdmond L. Becker
Laboratory Phone(602) 499-4221
Laboratory LocationFamily Tree Healthcare6036 N 19th Ave Ste 205, Phoenix, AZ 85015
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. DELANA KIM GARDNER FNP-C
Nurse Practitioner (Family)
7002 S CENTRAL AVE
PHOENIX, AZ 85042
Maricopa County (602) 499-4221
TDM MEDICAL CONSULTING, LLC
Obstetrics & Gynecology (Gynecology)
7002 S CENTRAL AVE
PHOENIX, AZ 85042
Maricopa County (602) 499-4221
DR. LAWANDA DUPREE DNP, FNP-C
Nurse Practitioner (Family)
7002 S CENTRAL AVE
PHOENIX, AZ 85042
Maricopa County (602) 499-4221

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 Family Tree Healthcare LLC's NPI number?

The NPI number for Family Tree Healthcare LLC is 1336500636. It was assigned to this organization in the NPPES registry on March 14, 2016.

Where is Family Tree Healthcare LLC located?

Family Tree Healthcare LLC is located at 7002 S Central Ave, Phoenix, AZ 85042. The listed phone number is (602) 449-4221.

What is Family Tree Healthcare LLC's specialty?

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

Does Family Tree Healthcare LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Family Tree Healthcare LLC was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.