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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: November 01, 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, Ambetter Health.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)

Spectrum Medical Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Spectrum Medical Care Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Janet Kim
Internal Medicine
NPI 1215497391
52 E MONTEREY WAY STE A
Phoenix, AZ 85012
(602) 604-9500
✔ PECOS✔ Accepts MedicareSame address
Ari Kravitz, FNP-C
Nurse Practitioner
NPI 1598408437
52 E MONTEREY WAY
Phoenix, AZ 85012
(513) 616-1156
✔ PECOS✔ Accepts MedicareSame address
Jennifer Zazzarino, MSN, FNP-BC
Nurse Practitioner
NPI 1407308000
52 E MONTEREY WAY
Phoenix, AZ 85012
(602) 604-9500
✔ PECOS✔ Accepts MedicareSame address
Thanes Vanig, MD
Internal Medicine
NPI 1215925441
52 E MONTEREY WAY
Phoenix, AZ 85012
(602) 604-9500
✔ PECOSSame address
Katherine Schaub, DNP, FNP-C
Nurse Practitioner
NPI 1538686654
52 E MONTEREY WAY
Phoenix, AZ 85012
(602) 604-9500
✔ PECOS✔ Accepts Medicare0.1 mi
Judith Bergman, MSN, FNP
Nurse Practitioner
NPI 1184617128
4350 N 19TH AVE SUITE 6
Phoenix, AZ 85015
(602) 264-9191
✔ PECOS1.9 mi
Jose Rodriguez-Garcia, M.D.
Family Practice
NPI 1396271912
7701 W ASPERA BLVD STE 201
Glendale, AZ 85308
(623) 248-2100
✔ PECOS✔ Accepts Medicare15 mi
Ethan Nguyen, NP-C
Family Practice
NPI 1821587346
13065 W MCDOWELL RD STE A105
Avondale, AZ 85392
(623) 536-6788
✔ PECOS✔ Accepts Medicare16 mi
Howard Grossman, M.D.
Internal Medicine
NPI 1710951694
52 E MONTEREY WAY
Phoenix, AZ 85012
(602) 604-9500
✔ PECOS✔ Accepts Medicare

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 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.

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.

Is Spectrum Medical Care Center enrolled in Medicare?

Yes. Spectrum Medical Care Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spectrum Medical Care Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Spectrum Medical Care 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 (4), Internal Medicine (3) and Family Practice (2). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Health and Ambetter from Arizona Complete Health 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 2 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.