NORTH VALLEY FAMILY MEDICINE PC
NPI 1750344347
Family Medicine in Glendale, AZ

Active since April 06, 2006CLIA 03D1023238 · Waiver
6320 W UNION HILLS DR STE 2800B, GLENDALE, AZ 85308(623) 322-4991(623) 322-9568 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 7, 2023, Aug 7, 2019 (2 updates tracked since 2019).

About North Valley Family Medicine Pc NPPES

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

NORTH VALLEY FAMILY MEDICINE PC (NPI 1750344347) is a healthcare organization registered as a family medicine in Glendale, Arizona and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists John W Ellis, President, as its authorized official.

NPPES Registry Identity

NPI1750344347
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH VALLEY FAMILY MEDICINE PC
Location Address6320 W UNION HILLS DR STE 2800BGlendale, AZ 85308-1380
Mailing Address6320 W Union Hills Dr Ste 2800bGlendale, AZ 85308-1380 · (623) 322-4991 · Fax (623) 322-9568
Fax(623) 322-9568
Organization SubpartNo
Authorized OfficialJohn W EllisPresident · (623) 322-4991
Enumeration DateApril 6, 2006
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1750344347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6320 W UNION HILLS DR STE 2800B, Glendale, AZ 85308

Other Identifiers 1

Other07-646940-RAZ · State License

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Valley Family Medicine Pc 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 North Valley Family Medicine PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1508629726
6320 W UNION HILLS DR BLDG B
Glendale, AZ 85308
(233) 224-9916
✔ PECOSSame address
Nurse Practitioner
NPI 1851250898
6320 W UNION HILLS DR STE 2800B
Glendale, AZ 85308
(623) 322-4991
✔ PECOSSame address
Family Practice
NPI 1285631242
6320 W UNION HILLS DR STE 2800B
Glendale, AZ 85308
(623) 322-4991
✔ PECOSSame address
Family Practice
NPI 1700854676
6320 W UNION HILLS DR STE 2800B
Glendale, AZ 85308
(623) 322-4991
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1629075932
6320 W UNION HILLS DR STE 2800B
Glendale, AZ 85308
(623) 322-4991
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669101796
6320 W UNION HILLS DR STE 2800B
Glendale, AZ 85308
(623) 322-4991
✔ PECOSSame address
Nurse Practitioner
NPI 1669070454
10050 W BELL RD STE 35
Sun City, AZ 85351
(623) 281-1130
✔ PECOS4.6 mi
Nurse Practitioner
NPI 1699152900
11209 N TATUM BLVD STE 180
Phoenix, AZ 85028
(602) 494-5155
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1215726765
11435 W BUCKEYE RD STE A106
Avondale, AZ 85323
(480) 677-8282
✔ PECOS✔ Accepts Medicare16 mi

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 03D1023238

North Valley Family Medicine · Glendale, AZ
Active · expires Jun 12, 2028
CLIA Number03D1023238
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorTanya B. Ellis, MD
Laboratory Phone(623) 322-4991
Laboratory LocationNorth Valley Family Medicine6320 W Union Hills Dr, Suite 2800B, Glendale, AZ 85308
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 North Valley Family Medicine PC's NPI number?

The NPI number for North Valley Family Medicine PC is 1750344347. It was assigned to this organization in the NPPES registry on April 6, 2006.

Where is North Valley Family Medicine PC located?

North Valley Family Medicine PC is located at 6320 W Union Hills Dr Ste 2800B, Glendale, AZ 85308. The listed phone number is (623) 322-4991.

What is North Valley Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is North Valley Family Medicine PC enrolled in Medicare?

Yes. North Valley Family Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Valley Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to North Valley Family Medicine PC. 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 (6) and Family Practice (3). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Valley Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1023238) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Valley Family Medicine PC was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.