Glendale Redbird Co
Glendale Redbird Co is a healthcare organization registered as Driver in Glendale, AZ, holding Type 2 (organization) NPI 1780489112 since 2025. The authorized official on file is Mydung Phan, Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1780489112 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Glendale Redbird Co |
| Parent organization | Radadvantage A Professional Corp. |
| Practice address | 6637 N 58TH DR APT 3, Glendale, AZ, 85301 |
| Phone | 4809184775 |
| Enumeration date | 2025-02-18 |
| Last updated in NPPES | 2025-02-18 |
Authorized official
| Name | Mydung Phan |
|---|---|
| Title | Ceo |
| Phone | 4809184775 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 172A00000X | Driver | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167030 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Glendale Redbird Co NPI: 1780489112 Taxonomy: 172A00000X (Driver) Address: 6637 N 58TH DR APT 3, Glendale, AZ, 85301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1245065945 | Mydung Phan | Individual | Driver | Glendale, AZ |
| 1083429369 | Mydung Phan | Organization | Peer Specialist | Glendale, AZ |
Verify this record
Cross-check NPI 1780489112 against the authoritative CMS record: view Glendale Redbird Co on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Glendale Redbird Co?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-02-18.