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

Q: What is Canyon Pediatrics, Inc's NPI number?

The NPI number for Canyon Pediatrics, Inc is 1831185362. It was assigned to this organization in the NPPES registry on September 20, 2005.

Q: What is Canyon Pediatrics, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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: November 01, 2026.

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

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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, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Canyon Pediatrics, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Canyon Pediatrics, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adam Zamora, AGNP-C

Nurse Practitioner

NPI 1548032006

560 W BROWN RD STE 1011
Mesa, AZ 85201

(480) 864-3671

✔ PECOS✔ Accepts Medicare5.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1831185362. It was assigned to this organization in the NPPES registry on September 20, 2005.

Where is Canyon Pediatrics, Inc located?

Canyon Pediatrics, Inc is located at 2451 E Baseline Rd Suite 200, Gilbert, AZ 85234. The listed phone number is (480) 507-2213.

What is Canyon Pediatrics, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Canyon Pediatrics, Inc enrolled in Medicare?

Yes. Canyon Pediatrics, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Canyon Pediatrics, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Canyon Pediatrics, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Canyon Pediatrics, Inc accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Canyon Pediatrics, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Canyon Pediatrics, Inc was last updated on March 28, 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.