Glendale Pediatrics LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GLENDALE PEDIATRICS LLC

Practice address

6745 N 51St Dr
Glendale, AZ 85301-3425

Phone

(623) 847-5300

Fax

(623) 847-5304

NPI assigned

Sep 18, 2007

Last updated

Nov 13, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Enrique Sion Lopez, MDNPI 1578572087

Title

Medical Officer

Phone

(623) 847-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enrique Sion Lopez, M.D.

  • Pediatrics Physician
  • Glendale, AZ
  • NPI 1578572087

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Diana Mendoza Noriega, FNP-C

  • Registered Nurse
  • Glendale, AZ
  • NPI 1326522921
  Medicare reassignment Care Compare group NPD
• Araceli Rangel, NP-C

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1437823945
  Medicare reassignment Care Compare group NPD
• Rebeca Flores-Lopez

  • Physician Assistant
  • Mesa, AZ
  • NPI 1114638129
  Medicare reassignment Care Compare group
• Emily Arlene Rubio, PA-C

  • Physician Assistant
  • Glendale, AZ
  • NPI 1093446478
  Medicare reassignment Care Compare group
• Ruth Montoya, PA-C

  • Physician Assistant
  • Glendale, AZ
  • NPI 1437744950

  Multi-Specialty

  Medicare reassignment NPD
• Jacqueline Bolin

  • Physician Assistant
  • Mesa, AZ
  • NPI 1275119521
  Medicare reassignment
• Manuel Gerardo Pompa, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1568080620
  Medicare reassignment
• Marisol Tatiana Avila, A.R.N.P-C

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1659574515

  Pediatrics

  NPD (past)
• Luis Carlos Gutierrez, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1295106391
  NPD (past)
• Jose Alberto Santoyo, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1073097903
  NPD (past)
• Ana Laura Velo Legarreta

  • Physician Assistant
  • Glendale, AZ
  • NPI 1720673239
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1336335983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 N 51ST DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013425",
            "telephone_number": "623-847-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 N 51ST DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013425",
            "telephone_number": "623-847-5300",
            "fax_number": "623-847-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "SION",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "623-847-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292340",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glendale Medical Investors Limited Partnership (Life Care Center of North Glendale)
• Glendale Medical Supply
• Glendale Modern Dentistry, LLP (Glendale Modern Dentistry)
• Glendale Obstetrics and Gynecology PC
• Glendale Pain Treatment Center
• Glendale Redbird Co
• Glendale Redbird Co
• Glendale Regenerative Medicine
• Glendale Sports Massage LLC
• Glendale Surgery Center

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.