Canyon Pediatrics, Inc

LBN: Canyon Pediatrics, Inc
Canyon Pediatrics, Inc is an health care organization with primary practice located at 2451 E Baseline Rd Suite 200, Gilbert AZ 85234-2471. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care, Managed Care Organizations / Health Maintenance Organization. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Canyon Pediatrics, Inc can be contacted via phone (480) 507-2213, or through Brubaker, Richard via phone (480) 776-7155.

Contact Information

Primary practice address
2451 E Baseline Rd Suite 200 Gilbert AZ 85234-2471
Phone: (480) 507-2213
Fax: (480) 626-6508
Website:
Map and Directions
Authorized official contact:
Name: Brubaker, Richard LMSW
Phone: (480) 776-7155

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Managed Care Organizations / Health Maintenance Organization 302R00000X 20136 Arizona

Profile Details

NPI number 1831185362
LBN Legal business name Canyon Pediatrics, Inc
DBA Doing business as
Authorized official Brubaker, Richard LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 28th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831185362 NPPES
Arizona MEDICAID 053504
Arizona Other AZ0889880
Arizona Other 2048349
Arizona Other 183427266
Arizona Other 6327185
Arizona Other 1Z5874

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