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PUEBLO FAMILY PHYSICIANS LTD
NPI 1790798072
Family Medicine in Phoenix, AZ

Active since August 15, 2006CLIA Certified · 2 labs
4350 N 19TH AVE, SUITE 6, PHOENIX, AZ 85015(602) 264-9191(602) 532-2973 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pueblo Family Physicians Ltd NPPES

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

PUEBLO FAMILY PHYSICIANS LTD (NPI 1790798072) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Scottsdale, and lists Rick Johns, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1790798072
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePUEBLO FAMILY PHYSICIANS LTD
Location Address4350 N 19TH AVE, SUITE 6Phoenix, AZ 85015-4602
Mailing Address4350 N 19th Ave Ste 6Phoenix, AZ 85015-4602 · (602) 850-8913 · Fax (602) 532-2956
Phone(602) 264-9191
Fax(602) 532-2973
Organization SubpartYes
Authorized OfficialRick JohnsPractice Administrator · (602) 850-8913
Enumeration DateAugust 15, 2006
Last NPPES UpdateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
✔ NPI 1790798072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 2325
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.
4350 N 19TH AVE, Phoenix, AZ 85015
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Other Names 1

Doing Business AsPueblo Family Physicians Ltd

Secondary Practice Location 1

Location 115425 N Greenway Hayden Loop Ste A300Scottsdale, AZ 85260-1204 · Phone (480) 607-1124 · Fax (480) 607-1087

Other Identifiers 1

Medicaid423779AZ

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

CLIA Laboratory Certificates CMS CLIA 2

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 03D2324757

Pueblo Family Physicians Ltd · Phoenix, AZ
Active · expires May 29, 2027
CLIA Number03D2324757
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorDonald G. Cunningham
Laboratory Phone(602) 264-9191
Laboratory LocationPueblo Family Physicians Ltd4350 N 19th Ave Ste 2, Phoenix, AZ 85015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0699858

Pueblo Family Physicians · Phoenix, AZ
Active · expires Aug 31, 2026
CLIA Number03D0699858
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDonald G. Cunningham Do
Laboratory Phone(602) 264-9191
Laboratory LocationPueblo Family Physicians4350 N 19th Ave Suite 6, Phoenix, AZ 85015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

PHILLIP PRUSINSKI FNP
Nurse Practitioner (Family)
4350 N 19TH AVE, #6
PHOENIX, AZ 85015
Maricopa County (480) 607-1124
MR. ADAM ESQUER NP
General Practice
4350 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 264-9191
DOUGLAS L CUNNINGHAM D.O.
Family Medicine
4350 N 19TH AVE, SUITE 6
PHOENIX, AZ 85015
Maricopa County (602) 264-9191
JUDITH BERGMAN MSN, FNP
Nurse Practitioner (Family)
4350 N 19TH AVE, SUITE 6
PHOENIX, AZ 85015
Maricopa County (602) 264-9191
DENNIS R PARKER, D.O. LTD
Family Medicine
4350 N 19TH AVE, #1
PHOENIX, AZ 85015
Maricopa County (602) 264-4848
DR. JOYCE N RATNER D.P.M.
Podiatrist (Foot & Ankle Surgery)
4350 N 19TH AVE, SUITE 3
PHOENIX, AZ 85015
Maricopa County (602) 279-4975
DANIEL THOMAS LINDELL PHARMD
Pharmacist (Ambulatory Care)
4350 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (800) 939-2022
DESERT RUN MULTISPECIALTY PLC
Internal Medicine (Interventional Cardiology)
4350 N 19TH AVE, SUITE 3
PHOENIX, AZ 85015
Maricopa County (602) 279-4975

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 Pueblo Family Physicians Ltd's NPI number?

The NPI number for Pueblo Family Physicians Ltd is 1790798072. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Pueblo Family Physicians Ltd located?

Pueblo Family Physicians Ltd is located at 4350 N 19th Ave Suite 6, Phoenix, AZ 85015. The listed phone number is (602) 264-9191.

What is Pueblo Family Physicians Ltd's specialty?

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

Does Pueblo Family Physicians Ltd hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pueblo Family Physicians Ltd was last updated on February 9, 2024. 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.