Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Active Kids Pediatrics, PC

Organization Health Service Clinic/Center · NPI 1629325378

Active Kids Pediatrics, PC is a Health Service Clinic/Center in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15215 S 48th St Ste 110
Phoenix, AZ 85044-9142
Phone: (480) 783-8960
Fax: (480) 783-8967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X · Licence A32674 (AZ)

Record details

NPI number1629325378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judith Barnes Clark — Pediatrician, Co-Owner · (480) 783-8960
NPI enumeratedAugust 13, 2012
Last updated in NPPESAugust 13, 2012
Mailing address15215 S 48th St, Suite 110, Phoenix, AZ 85044-9142

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