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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.

SPECTRUM MEDICAL CARE CENTER
NPI 1417433236
Clinic/Center - Medical Specialty in Phoenix, AZ

Active since July 15, 2018CLIA 03D2152764 · Waiver
52 E MONTEREY WAY STE A, PHOENIX, AZ 85012(480) 930-4353(480) 930-4353 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 4, 2026, Jan 11, 2019, Jul 15, 2018 (3 updates tracked since 2018).

About Spectrum Medical Care Center NPPES

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

SPECTRUM MEDICAL CARE CENTER (NPI 1417433236) is a healthcare organization registered as a medical specialty in Phoenix, Arizona and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through August 15, 2028 and lists Efram J Peller, Coo, as its authorized official.

NPPES Registry Identity

NPI1417433236
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSPECTRUM MEDICAL CARE CENTER
Location Address52 E MONTEREY WAY STE APhoenix, AZ 85012-2628
Mailing Address52 E Monterey Way Ste APhoenix, AZ 85012-2628 · (602) 604-9500 · Fax (480) 930-4353
Phone(480) 930-4353
Fax(480) 930-4353
Organization SubpartNo
Authorized OfficialEfram J PellerCoo · (602) 604-9500
Enumeration DateJuly 15, 2018
Last NPPES UpdateSeptember 4, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1417433236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in AZ · 24745
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
52 E MONTEREY WAY STE A, Phoenix, AZ 85012
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Other Identifiers 3

Other24745AZ · Az License
Medicaid382763AZ
OtherAZ0800990AZ · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Kansas City.Insurance ›

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 03D2152764

Spectrum Medical Care Center · Phoenix, AZ
Active · expires Aug 15, 2028
CLIA Number03D2152764
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2026
Certificate Expiration DateAugust 15, 2028
Laboratory DirectorHoward A. Grossman
Laboratory Phone(602) 604-9500
Laboratory LocationSpectrum Medical Care Center52 E Monterey Way, Phoenix, AZ 85012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JANET KIM
Internal Medicine
52 E MONTEREY WAY STE A
PHOENIX, AZ 85012
Maricopa County (602) 604-9500

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 Spectrum Medical Care Center's NPI number?

The NPI number for Spectrum Medical Care Center is 1417433236. It was assigned to this organization in the NPPES registry on July 15, 2018.

Where is Spectrum Medical Care Center located?

Spectrum Medical Care Center is located at 52 E Monterey Way Ste A, Phoenix, AZ 85012. The listed phone number is (480) 930-4353.

What is Spectrum Medical Care Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Spectrum Medical Care Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2152764) is associated with this NPI, valid through August 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spectrum Medical Care Center accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross and Blue Shield of Kansas City list Spectrum Medical Care 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 Spectrum Medical Care Center was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.