NPIMap

Individual provider Active NPI

Haley Ann Ferralez

  • Adult Medicine Physician
  • Glendale, AZ
National Provider Identifier
1346989514
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
9386 Issued in AZ
Practice address
6975 W Glendale Ave
Glendale, AZ 85303-2611
Phone
(602) 243-7277
Fax
(602) 243-1235
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 9386 AZ Primary

Addresses

Primary practice location

6975 W Glendale Ave
Glendale, AZ 85303-2611

Mailing address

6975 W Glendale Ave
Glendale, AZ 85303-2611
Phone (602) 243-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221214000604 AZ Practitioner - Physician Assistant 4486023462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Park Health CenterGroup PAC ID 8325949647, 117 clinicians

Practice addresses (Care Compare)

635 E Baseline Rd
Phoenix, AZ 85042-6551
Phone (602) 243-7277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9386AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Park Health Center CurrentSince Nov 28, 2022 Accepting new patients
Mountain Park Health Center CurrentSince Nov 28, 2022 Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients

Locations

6975 W Glendale Ave
Glendale, AZ 85303
Phone (480) 729-0905

635 E Baseline Rd
Phoenix, AZ 85042

303 E Baseline Rd
Phoenix, AZ 85042
Phone (602) 277-6181

2702 N 3rd St
Ste 4020
Phoenix, AZ 85004
Phone (602) 323-3345

5517 N 17th Ave
Phoenix, AZ 85015
Phone (602) 242-7717

3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492

1840 E Broadway Rd
Tempe, AZ 85282
Phone (602) 323-3444

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1346989514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 W GLENDALE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032611",
            "telephone_number": "602-243-7277",
            "fax_number": "602-243-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 W GLENDALE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032611",
            "telephone_number": "602-243-7277",
            "fax_number": "602-243-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRALEZ",
        "first_name": "HALEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "9386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.