NPIMap

Organization Active NPI

Glendale Pediatrics LLC

Doing business as GP Family Care Mesa

  • Primary Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1740044312
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GLENDALE PEDIATRICS LLC
Doing business as
GP Family Care Mesa
Practice address
6553 E Baywood Ave Ste 106
Mesa, AZ 85206-1752
Phone
(480) 641-4922
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Enrique Sion LopezNPI 1578572087
Title
Physician
Phone
(623) 847-5300

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6553 E Baywood Ave Ste 106
Mesa, AZ 85206-1752

Mailing address

6745 N 51St Dr
Glendale, AZ 85301-3425
Phone (623) 847-5300

Other names 1

  • GP Family Care Mesa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glendale Pediatrics Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6745 N 51st Dr
Glendale, AZ 85301
Phone (623) 847-5300

Practitioners & affiliated clinicians

Practitioners 2

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": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1740044312",
    "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": "6553 E BAYWOOD AVE STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061752",
            "telephone_number": "480-641-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "SION",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "623-847-5300"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GP Family Care Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.