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

Canyon Pediatrics, Inc

Organization Family Medicine Physician · NPI 1831185362

Canyon Pediatrics, Inc is a Family Medicine Physician in Gilbert, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2005
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2451 E Baseline Rd Ste 200
Gilbert, AZ 85234-2471
Phone: (480) 507-2213
Fax: (480) 626-6508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 815 E University Dr, Mesa, AZ 85203-8032 — (480) 776-7155

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Clinic/Center Taxonomy 261Q00000X
Health Maintenance Organization Taxonomy 302R00000X · Licence 20136 (AZ)

Record details

NPI number1831185362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Brubaker — Ceo · (480) 776-7155
NPI enumeratedSeptember 20, 2005
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address2451 E Baseline Rd, Ste 130, Gilbert, AZ 85234-2471

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