MOUNTAIN PARK HEALTH CENTER
NPI 1386452415
Clinic/Center - Federally Qualified Health Center (FQHC) in Phoenix, AZ

Active since December 20, 2024CLIA 03D0715986 · Microscopy
325 E BASELINE RD, PHOENIX, AZ 85042(602) 243-7277 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mountain Park Health Center NPPES

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

MOUNTAIN PARK HEALTH CENTER (NPI 1386452415) is a healthcare organization registered as a federally qualified health center (fqhc) in Phoenix, Arizona and active in the NPI registry since December 2024. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists John Swagert, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1386452415
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOUNTAIN PARK HEALTH CENTER
Location Address325 E BASELINE RDPhoenix, AZ 85042-6589
Mailing Address3003 N Central Ave Ste 1600Phoenix, AZ 85012-2908 · (602) 323-3344
Organization SubpartNo
Authorized OfficialJohn SwagertChief Executive Officer · (602) 323-3470
Enumeration DateDecember 20, 2024
NPPES CertifiedDecember 20, 2024
✔ NPI 1386452415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
325 E BASELINE RD, Phoenix, AZ 85042

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Park Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

165

Medicare enrollment records show 165 clinicians reassign Medicare billing to Mountain Park Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 62 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner50
Pediatric Medicine30
Registered Dietitian or Nutrition Professional20
Clinical Social Worker15
Clinical Psychologist11
Family Practice8
Internal Medicine8
Dentist5
5 other specialties18

Nearest to this location (20)

See all 165
Nurse Practitioner
NPI 1932106192
325 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821824137
303 E BASELINE RD
Phoenix, AZ 85042
(602) 323-3344
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205561040
303 E BASELINE RD
Phoenix, AZ 85042
(414) 335-7474
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790867349
303 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982216156
303 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOSSame address
Dentist
NPI 1982068771
635 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1407826985
635 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1841821642
635 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1922236231
635 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS0.1 mi
Internal Medicine
NPI 1932363876
635 EAST BASELINE ROAD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1164866570
635 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1881050003
635 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
0.1 mi
Oral Surgery
NPI 1104916824
635 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS0.1 mi
Obstetrics/Gynecology
NPI 1720018195
635 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1073275749
635 E BASELINE RD
Phoenix, AZ 85042
(022) 437-2776
✔ PECOS0.1 mi
Internal Medicine
NPI 1629035852
635 EAST BASELINE ROAD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1699096115
635 EAST BASELINE ROAD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1457311292
635 EAST BASELINE ROAD
Phoenix, AZ 85042
(602) 243-7277
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1336000561
635 E BASELINE RD
Phoenix, AZ 85042
(602) 243-7277
0.1 mi
Clinical Psychologist
NPI 1215275375
635 E BASELINE RD
Phoenix, AZ 85042
(714) 679-6565
✔ PECOS✔ Accepts Medicare0.1 mi
See all 165 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 03D0715986

Mountain Park Health Center - Baseline · Phoenix, AZ
Active · expires Aug 31, 2028
CLIA Number03D0715986
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDavinder Singh
Laboratory Phone(602) 323-3218
Laboratory LocationMountain Park Health Center - Baseline635 E Baseline Rd, Phoenix, AZ 85042
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Mountain Park Health Center's NPI number?

The NPI number for Mountain Park Health Center is 1386452415. It was assigned to this organization in the NPPES registry on December 20, 2024.

Where is Mountain Park Health Center located?

Mountain Park Health Center is located at 325 E Baseline Rd, Phoenix, AZ 85042. The listed phone number is (602) 243-7277.

What is Mountain Park Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Mountain Park Health Center enrolled in Medicare?

Yes. Mountain Park Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Park Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 165 clinicians in 13 Medicare specialties reassign their Medicare billing to Mountain Park Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (50), Pediatric Medicine (30) and Registered Dietitian or Nutrition Professional (20). Of these, 1 practice at this address and 62 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mountain Park Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0715986) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain Park Health Center accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Mountain Park Health Center 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 Mountain Park Health Center was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.