1. Home
  2. Directory
  3. Arizona
  4. Peoria
  5. Family Medicine
  6. NPI Profile

ARK FAMILY HEALTH NORTH PEORIA PLLC
NPI 1396484762
Family Medicine in Peoria, AZ

Active since June 02, 2022CLIA 03D2136009 · Waiver
8514 W DEER VALLEY RD STE 100, PEORIA, AZ 85382(623) 226-8825 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ark Family Health North Peoria Pllc NPPES

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

ARK FAMILY HEALTH NORTH PEORIA PLLC (NPI 1396484762), doing business as Ark Family Health, is a healthcare organization registered as a family medicine in Peoria, Arizona and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Kendrick O Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1396484762
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARK FAMILY HEALTH NORTH PEORIA PLLC
Location Address8514 W DEER VALLEY RD STE 100Peoria, AZ 85382-5387
Mailing Address8514 W Deer Valley Rd Ste 100Peoria, AZ 85382-5387 · (623) 226-8825
Phone(623) 226-8825
Organization SubpartNo
Authorized OfficialKendrick O JohnsonOwner · (801) 234-0166
Enumeration DateJune 2, 2022
NPPES CertifiedJune 2, 2022
✔ NPI 1396484762 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.
8514 W DEER VALLEY RD STE 100, Peoria, AZ 85382
Open in Google Maps ↗

Other Names 1

Doing Business AsArk Family Health

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 03D2136009

Ark Family Health · Peoria, AZ
Active · expires Aug 30, 2027
CLIA Number03D2136009
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorKendrick Johnson
Laboratory Phone(623) 226-8825
Laboratory LocationArk Family Health8514 W Deer Valley Rd Ste 105, Peoria, AZ 85382
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 Ark Family Health North Peoria PLLC's NPI number?

The NPI number for Ark Family Health North Peoria PLLC is 1396484762. It was assigned to this organization in the NPPES registry on June 2, 2022. The provider is doing business as Ark Family Health.

Where is Ark Family Health North Peoria PLLC located?

Ark Family Health North Peoria PLLC is located at 8514 W Deer Valley Rd Ste 100, Peoria, AZ 85382. The listed phone number is (623) 226-8825.

What is Ark Family Health North Peoria PLLC's specialty?

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

Does Ark Family Health North Peoria PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2136009) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ark Family Health North Peoria PLLC was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.