PINNACLE PERFORMANCE MEDICINE
NPI 1477424182
Nurse Practitioner - Family in Glendale, AZ

Active since September 16, 2025
3923 W ABRAHAM LN, GLENDALE, AZ 85308(623) 213-9221 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2025, Sep 16, 2025 (2 updates tracked since 2025).

About Pinnacle Performance Medicine NPPES

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

PINNACLE PERFORMANCE MEDICINE (NPI 1477424182) is a healthcare organization registered as a family in Glendale, Arizona and active in the NPI registry since September 2025. The organization lists Jose Ruiz, Provider, as its authorized official.

NPPES Registry Identity

NPI1477424182
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePINNACLE PERFORMANCE MEDICINE
Location Address3923 W ABRAHAM LNGlendale, AZ 85308-2022
Mailing Address3923 W Abraham LnGlendale, AZ 85308-2022 · (623) 213-9221 · Fax (928) 320-4256
Organization SubpartNo
Authorized OfficialJose RuizProvider · (623) 213-9221
Enumeration DateSeptember 16, 2025
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
NPI 1477424182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3923 W ABRAHAM LN, Glendale, AZ 85308

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

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
3923 W ABRAHAM LN
GLENDALE, AZ 85308

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 Pinnacle Performance Medicine's NPI number?

The NPI number for Pinnacle Performance Medicine is 1477424182. It was assigned to this organization in the NPPES registry on September 16, 2025.

Where is Pinnacle Performance Medicine located?

Pinnacle Performance Medicine is located at 3923 W Abraham Ln, Glendale, AZ 85308. The listed phone number is (623) 213-9221.

What is Pinnacle Performance Medicine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Pinnacle Performance Medicine was last updated on November 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.