Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phoenix Children's Medical Group

Organization Multi-Specialty Clinic/Center · NPI 1679703441

Phoenix Children's Medical Group is a Multi-Specialty Clinic/Center in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
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Practice location Address checks out

20325 N 51st Ave Ste 116
Glendale, AZ 85308-5674
Phone: (602) 933-0003
Fax: (602) 933-6152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X · Licence SH3107 (AZ)

Record details

NPI number1679703441
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhoenix Children's Hospital, Inc
Authorized official Raheel Farough — Svp, Managed Care & Payor Strategy · (602) 933-3548
Other names Phoenix Children'S Ambulatory Specialty Center - Northwest Valley; Phoenix Children'S Ambulatory Specialty Center - Northwest Valley
NPI enumeratedJuly 15, 2009
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008

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