Active Kids Pediatrics, PC
NPI 1629325378 · Health Service Clinic/Center · Phoenix, AZ
Active Kids Pediatrics, PC is a Health Service Clinic/Center organization in Phoenix, AZ (NPI 1629325378).
Provider details
- NPI number
- 1629325378
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Judith Barnes Clark, Pediatrician, Co-Owner(480) 783-8960
- License
- A32674 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2012-08-13
Frequently asked questions
- What is Active Kids Pediatrics, PC's NPI number?
- Active Kids Pediatrics, PC's National Provider Identifier (NPI) is 1629325378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Kids Pediatrics, PC?
- Active Kids Pediatrics, PC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Active Kids Pediatrics, PC located?
- Active Kids Pediatrics, PC's practice location on file with NPPES is 15215 S 48th St, Phoenix, AZ 85044-9142.
- What is Active Kids Pediatrics, PC's phone number?
- The practice phone number listed in the NPPES registry for Active Kids Pediatrics, PC is (480) 783-8960.
- Who is the authorized official for Active Kids Pediatrics, PC?
- The authorized official listed on Active Kids Pediatrics, PC's NPPES record is Judith Barnes Clark, Pediatrician, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Kids Pediatrics, PC's NPI active?
- Yes — Active Kids Pediatrics, PC's NPI (1629325378) is active in the NPPES registry as of the last update on 2012-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.