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FOUNDATIONS PEDIATRIC CLINIC
NPI 1558085498
Pediatrics in Glendale, AZ

Active since October 03, 2022CLIA 03D2273228 · Waiver
5400 W NORTHERN AVE STE 101, GLENDALE, AZ 85301(480) 847-0900(480) 508-7815 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2023, Oct 3, 2022 (2 updates tracked since 2022).

About Foundations Pediatric Clinic NPPES

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

FOUNDATIONS PEDIATRIC CLINIC (NPI 1558085498) is a healthcare organization registered as a pediatrics in Glendale, Arizona and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists Nailah Cooper, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1558085498
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFOUNDATIONS PEDIATRIC CLINIC
Location Address5400 W NORTHERN AVE STE 101Glendale, AZ 85301-1590
Mailing Address1755 N Pebble Creek Pkwy, Pmb1058Goodyear, AZ 85395-2532 · (480) 847-0900 · Fax (480) 508-7815
Phone(480) 847-0900
Fax(480) 508-7815
Organization SubpartNo
Authorized OfficialNailah CooperMember Manager · (480) 847-0900
Enumeration DateOctober 3, 2022
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1558085498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5400 W NORTHERN AVE STE 101, Glendale, AZ 85301
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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 03D2273228

Foundations Pediatric Clinic PLLC · Glendale, AZ
Active · expires Dec 10, 2027
CLIA Number03D2273228
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorNailah Z. Cooper
Laboratory Phone(480) 847-0900
Laboratory LocationFoundations Pediatric Clinic PLLC5400 W Northern Ave Ste 101, Glendale, AZ 85301
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 Foundations Pediatric Clinic's NPI number?

The NPI number for Foundations Pediatric Clinic is 1558085498. It was assigned to this organization in the NPPES registry on October 3, 2022.

Where is Foundations Pediatric Clinic located?

Foundations Pediatric Clinic is located at 5400 W Northern Ave Ste 101, Glendale, AZ 85301. The listed phone number is (480) 847-0900.

What is Foundations Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Foundations Pediatric Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2273228) is associated with this NPI, valid through December 10, 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 Foundations Pediatric Clinic was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.