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

Pebble Creek Medical Group PLLC

Organization Internal Medicine Physician · NPI 1790213064

Pebble Creek Medical Group PLLC is an Internal Medicine Physician in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 N Estrella Pkwy # 130
Goodyear, AZ 85338-9271
Phone: (623) 322-2144
Fax: (623) 322-1165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 37252 (AZ)

Record details

NPI number1790213064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sanjay Bommakanti — Md/Owner · (623) 337-6897
NPI enumeratedMay 31, 2017
Last updated in NPPESMay 31, 2017
Mailing address18210 N Organ Pipe Dr, Sun City, AZ 85373-1757

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