Foundations Pediatric Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FOUNDATIONS PEDIATRIC CLINIC

Practice address

5400 W Northern Ave Ste 101
Glendale, AZ 85301-1590

Phone

(480) 847-0900

Fax

(480) 508-7815

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nailah Cooper, MDNPI 1700298130

Title

Member Manager

Phone

(480) 847-0900

Specialties & licenses 1

Addresses

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 1

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

• Nailah Cooper, MD

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1700298130
  NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1558085498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 N PEBBLE CREEK PKWY",
            "address_2": "PMB1058",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952532",
            "telephone_number": "480-847-0900",
            "fax_number": "480-508-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W NORTHERN AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011590",
            "telephone_number": "480-847-0900",
            "fax_number": "480-508-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "NAILAH",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "480-847-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Katherine Foster, OTR/L
• Shirley Foster
• Torri Foster
• Fostering Hope Home LLC
• Fostering Hope L.L.C.
• Founders Healthcare, LLC
• Fountain of Hope
• Four Peaks Medical Transportation
• Rollen Fowler
• Jane Fox, ARNP

• Pediatrics Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.