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CANYON PEDIATRICS, INC
NPI 1861257420
Clinic/Center - Primary Care in Gilbert, AZ

Active since February 13, 2024
2451 E BASELINE RD STE 130, GILBERT, AZ 85234(480) 776-7155 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Canyon Pediatrics, Inc NPPES

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

CANYON PEDIATRICS, INC (NPI 1861257420) is a healthcare organization registered as a primary care in Gilbert, Arizona and active in the NPI registry since February 2024. The organization lists Richard Brubaker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861257420
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCANYON PEDIATRICS, INC
Location Address2451 E BASELINE RD STE 130Gilbert, AZ 85234-2487
Mailing Address2451 E Baseline Rd Ste 130Gilbert, AZ 85234-2487 · (480) 776-7155
Phone(480) 776-7155
Organization SubpartNo
Authorized OfficialRichard BrubakerCeo · (480) 776-7155
Enumeration DateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1861257420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedPediatricsTaxonomy 208000000X
2451 E BASELINE RD STE 130, Gilbert, AZ 85234
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Other Identifiers 1

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

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

RAQUELLE WEIGHT RDN
Dietitian, Registered
2451 E BASELINE RD STE 130
GILBERT, AZ 85234
Maricopa County (480) 399-6235

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 1861257420. 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 2451 E Baseline Rd Ste 130, Gilbert, AZ 85234. The listed phone number is (480) 776-7155.

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.

When was this NPI record last updated?

The NPPES record for Canyon Pediatrics, Inc was last updated on February 13, 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.