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CANYON PEDIATRICS, INC
NPI 1780449348
Pediatrics in Mesa, AZ

Active since February 13, 2024
815 E UNIVERSITY DR, MESA, AZ 85203(480) 776-7155 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canyon Pediatrics, Inc NPPES

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

CANYON PEDIATRICS, INC (NPI 1780449348) is a healthcare organization registered as a pediatrics in Mesa, Arizona and active in the NPI registry since February 2024. The organization lists Richard Brubaker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780449348
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCANYON PEDIATRICS, INC
Location Address815 E UNIVERSITY DRMesa, AZ 85203-8032
Mailing Address2451 E Baseline Rd Ste 130Gilbert, AZ 85234-2487 · (480) 776-7155
Phone(480) 776-7155
Organization SubpartNo
Authorized OfficialRichard BrubakerCeo · (480) 507-2199
Enumeration DateFebruary 13, 2024
Last NPPES UpdateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
✔ NPI 1780449348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X
815 E UNIVERSITY DR, Mesa, AZ 85203
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Other Identifiers 5

Other1Z5874AZ · Health Net
Other183427266AZ · Tricare
Other6327185AZ · Cigna Us Health Care
Other2048349AZ · Aetna Health Care
Medicaid053504AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. BERNADETTE R ROSENBERG DO
Pediatrics
815 E UNIVERSITY DR
MESA, AZ 85203
Maricopa County (480) 507-2199
DENNIS R PICKERING
Counselor (Professional)
815 E UNIVERSITY DR
MESA, AZ 85203
Maricopa County (480) 507-2199
CANYONBEHAVIOR HEALTH
Counselor
815 E UNIVERSITY DR
MESA, AZ 85203
Maricopa County (480) 507-2199

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 Canyon Pediatrics, Inc's NPI number?

The NPI number for Canyon Pediatrics, Inc is 1780449348. It was assigned to this organization in the NPPES registry on February 13, 2024.

Where is Canyon Pediatrics, Inc located?

Canyon Pediatrics, Inc is located at 815 E University Dr, Mesa, AZ 85203. The listed phone number is (480) 776-7155.

What is Canyon Pediatrics, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Canyon Pediatrics, Inc was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.