OrganizationActive
Canyon Pediatrics, Inc
NPI 1780449348 · Pediatrics Physician · Mesa, AZ
Provider details
- NPI number
- 1780449348
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Brubaker, Ceo(480) 507-2199
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Health Maintenance Organization302R00000X
Managed Care Organizations
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
815 E University Dr
Mesa, AZ 85203-8032
Phone: (480) 776-7155
Street-level locationGet directions
Mailing address
2451 E Baseline Rd Ste 130
Gilbert, AZ 85234-2487
Registry dates
- Enumerated
- 2024-02-13
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.