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CANYON PEDIATRICS, INC
NPI 1831185362
Clinic/Center - Primary Care in Gilbert, AZ

Active since September 20, 2005
2451 E BASELINE RD, SUITE 200, GILBERT, AZ 85234(480) 507-2213(480) 626-6508 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2023, Aug 4, 2020 (2 updates tracked since 2020).

About Canyon Pediatrics, Inc NPPES

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

CANYON PEDIATRICS, INC (NPI 1831185362) is a healthcare organization registered as a primary care in Gilbert, Arizona and active in the NPI registry since September 2005. The organization maintains a secondary practice location in Mesa and lists Richard Brubaker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831185362
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCANYON PEDIATRICS, INC
Location Address2451 E BASELINE RD, SUITE 200Gilbert, AZ 85234-2471
Mailing Address2451 E Baseline Rd, Ste 130Gilbert, AZ 85234-2471 · (480) 507-2213 · Fax (480) 626-6508
Phone(480) 507-2213
Fax(480) 626-6508
Organization SubpartNo
Authorized OfficialRichard BrubakerCeo · (480) 776-7155
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMarch 28, 20242 updates tracked since enumeration
NPPES CertifiedMarch 28, 2024
✔ NPI 1831185362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X · License 20136 (AZ)
2451 E BASELINE RD, Gilbert, AZ 85234
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Secondary Practice Location 1

Location 1815 E University DrMesa, AZ 85203-8032 · Phone (480) 776-7155 · Fax (480) 626-6508

Other Identifiers 6

Medicaid053504AZ
OtherAZ0889880AZ · Blue Cross Blue Sheild
Other2048349AZ · Aetna Health Caer
Other183427266AZ · Tricare
Other6327185AZ · Cigna Us Health Care
Other1Z5874AZ · Health Net

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 20

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

CHRISTOPHER TODD MAYHEW D.C.
Chiropractor
2451 E BASELINE RD, SUITE 410
GILBERT, AZ 85234
Maricopa County (480) 507-2390
JAMIE P COFFEY DPM
Podiatrist
2451 E BASELINE RD, STE. C-230
GILBERT, AZ 85234
Maricopa County (480) 892-3180
MKRP INDUSTRIES INCORPORATION
Health Maintenance Organization
2451 E BASELINE RD, SUITE 130
GILBERT, AZ 85234
Maricopa County (480) 507-2213
DR. RAY WILLIAM TUCKETT DDS
Dentist
2451 E BASELINE RD, SUITE 210
GILBERT, AZ 85234
Maricopa County (480) 545-8700
MKRP INDUSTRIES INC
Family Medicine
2451 E BASELINE RD, STE 130
GILBERT, AZ 85234
Maricopa County (480) 507-2199
DR. RITA ANN PECK D.M.D.
Dentist (General Practice)
2451 E BASELINE RD, SUITE 210
GILBERT, AZ 85234
Maricopa County (480) 335-5554
DONALD MARK RACKEY ATC
Specialist/Technologist (Athletic Trainer)
2451 E BASELINE RD, # 220
GILBERT, AZ 85234
Maricopa County (480) 892-2121
DR. HOANG DANG NGUYEN MD
Pediatrics (Adolescent Medicine)
2451 E BASELINE RD, SUITE 200
GILBERT, AZ 85234
Maricopa County (480) 507-2199

Frequently Asked Questions

What is CANYON PEDIATRICS, INC's NPI number?

The NPI number assigned to this healthcare provider is 1831185362, enumerated as an "organization" on September 20, 2005.

Where is the provider located?

The provider is located at 2451 E BASELINE RD SUITE 200 GILBERT, AZ 85234 and the phone number is (480) 507-2213.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

What insurance does CANYON PEDIATRICS, INC accept?

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare,. Please consult your insurance carrier or call the provider to verify.