PHOENIX OBSTETRICS & GYNECOLOGY
NPI 1972372779
Obstetrics & Gynecology in Phoenix, AZ

Active since December 21, 2023CLIA 03D0957432 · Microscopy
3650 W BETHANY HOME RD, PHOENIX, AZ 85019(602) 841-0707(602) 841-0708 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phoenix Obstetrics & Gynecology NPPES

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

PHOENIX OBSTETRICS & GYNECOLOGY (NPI 1972372779) is a healthcare organization registered as an obstetrics & gynecology in Phoenix, Arizona and active in the NPI registry since December 2023. The organization holds a CLIA Microscopy certificate valid through February 18, 2027 and lists Kimberly A. Diana-brooks, Owner, as its authorized official.

NPPES Registry Identity

NPI1972372779
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePHOENIX OBSTETRICS & GYNECOLOGY
Location Address3650 W BETHANY HOME RDPhoenix, AZ 85019-1967
Mailing Address3650 W Bethany Home RdPhoenix, AZ 85019-1967 · (602) 841-0707 · Fax (602) 841-0708
Fax(602) 841-0708
Organization SubpartNo
Authorized OfficialKimberly A. Diana-brooksOwner · (602) 841-0707
Enumeration DateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
NPI 1972372779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3650 W BETHANY HOME RD, Phoenix, AZ 85019

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D0957432
Facility Type
Physician Office
Certificate Effective Date
February 19, 2025
Certificate Expiration Date
February 18, 2027
Laboratory Director
KIMBERLY A. DIANA BROOKS DO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Phoenix Obstetrics & Gynecology in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
3650 W BETHANY HOME RD
PHOENIX, AZ 85019
Chiropractor
3650 W BETHANY HOME RD
PHOENIX, AZ 85019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972372779, enumerated as an "organization" on December 21, 2023.

The provider is located at 3650 W BETHANY HOME RD PHOENIX, AZ 85019 and the phone number is (602) 841-0707.

Obstetrics & Gynecology with taxonomy code 207V00000X.