CHILDREN'S DOCTOR, PC
NPI 1457559486
General Acute Care Hospital - Children in Phoenix, AZ

Active since July 11, 2007CLIA 03D0527664 · Waiver
1728 W GLENDALE AVE, SUITE #102, PHOENIX, AZ 85021(602) 864-0211(602) 864-9392 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Children's Doctor, Pc NPPES

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

CHILDREN'S DOCTOR, PC (NPI 1457559486) is a healthcare organization registered as a children in Phoenix, Arizona and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Keramat Behshad, President, as its authorized official.

NPPES Registry Identity

NPI1457559486
Entity TypeOrganization
Primary Taxonomy282NC2000X
Legal Business NameCHILDREN'S DOCTOR, PC
Location Address1728 W GLENDALE AVE, SUITE #102Phoenix, AZ 85021-8860
Mailing Address1728 W Glendale Ave, Suite #102Phoenix, AZ 85021-8860 · (602) 864-0211 · Fax (602) 864-9392
Fax(602) 864-9392
Organization SubpartNo
Authorized OfficialKeramat BehshadPresident · (602) 864-0211
Enumeration DateJuly 11, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1457559486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care Hospital · ChildrenHospitals
Taxonomy Code282NC2000X
1728 W GLENDALE AVE, Phoenix, AZ 85021

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 03D0527664

Children's Doctor · Phoenix, AZ
Active · expires Aug 31, 2026
CLIA Number03D0527664
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKeramat Behshad
Laboratory Phone(602) 864-0211
Laboratory LocationChildren's Doctor5720 N 19th Ave, 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 13

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

Surgery
1728 W GLENDALE AVE, SUITE 100
PHOENIX, AZ 85021
Specialist
1728 W GLENDALE AVE, SUITE 204
PHOENIX, AZ 85021
Family Medicine
1728 W GLENDALE AVE, SUITE 301
PHOENIX, AZ 85021
Internal Medicine
1728 W GLENDALE AVE, STE 301
PHOENIX, AZ 85021
Family Medicine
1728 W GLENDALE AVE, SUITE 403
PHOENIX, AZ 85021
Family Medicine
1728 W GLENDALE AVE, SUITE #303
PHOENIX, AZ 85021
Family Medicine
1728 W GLENDALE AVE, STE 301
PHOENIX, AZ 85021
Dentist (Pediatric Dentistry)
1728 W GLENDALE AVE, #305
PHOENIX, AZ 85021

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 Children's Doctor, PC's NPI number?

The NPI number for Children's Doctor, PC is 1457559486. It was assigned to this organization in the NPPES registry on July 11, 2007.

Where is Children's Doctor, PC located?

Children's Doctor, PC is located at 1728 W Glendale Ave Suite #102, Phoenix, AZ 85021. The listed phone number is (602) 864-0211.

What is Children's Doctor, PC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Children, with taxonomy code 282NC2000X.

Does Children's Doctor, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0527664) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Children's Doctor, PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.