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

Foundations Pediatric Clinic

Organization Pediatrics Physician · NPI 1558085498

Foundations Pediatric Clinic is a Pediatrics Physician in Glendale, Arizona. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

5400 W Northern Ave Ste 101
Glendale, AZ 85301-1590
Phone: (480) 847-0900
Fax: (480) 508-7815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1558085498
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nailah Cooper — Member Manager · (480) 847-0900
NPI enumeratedOctober 3, 2022
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023
Mailing address1755 N Pebble Creek Pkwy, Pmb1058, Goodyear, AZ 85395-2532

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