Organization Active NPI

Pinnacle Performance Medicine

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1477424182
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PINNACLE PERFORMANCE MEDICINE
Practice address
3923 W Abraham LN
Glendale, AZ 85308-2022
Phone
(623) 213-9221
NPI assigned
Sep 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Jose Ruiz, FNPNPI 1013892553
Title
Provider
Phone
(623) 213-9221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3923 W Abraham LN
Glendale, AZ 85308-2022

Mailing address

3923 W Abraham LN
Glendale, AZ 85308-2022
Phone (623) 213-9221

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1477424182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 W ABRAHAM LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082022",
            "telephone_number": "623-213-9221",
            "fax_number": "928-320-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 W ABRAHAM LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082022",
            "telephone_number": "623-213-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PERFORMANCE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "623-213-9221",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.