FAIRMONT CHILDRENS PLLC
NPI 1033778170
Pediatrics in Pasadena, TX

Active since June 12, 2019CLIA 45D0981437 · Waiver
4002 BURKE RD STE 200, PASADENA, TX 77504(832) 241-3540(832) 241-3750 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fairmont Childrens Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRMONT CHILDRENS PLLC (NPI 1033778170) is a healthcare organization registered as a pediatrics in Pasadena, Texas and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Jilly Vidyasagdran, Authorized Signer, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1033778170
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFAIRMONT CHILDRENS PLLC
Location Address4002 BURKE RD STE 200Pasadena, TX 77504-3451
Mailing Address4002 Burke Rd Ste 100Pasadena, TX 77504-3451 · (832) 241-3540 · Fax (832) 241-3750
Fax(832) 241-3750
Organization SubpartNo
Authorized OfficialJilly VidyasagdranAuthorized Signer · (832) 241-3540
Enumeration DateJune 12, 2019
NPI 1033778170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4002 BURKE RD STE 200, Pasadena, TX 77504

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0981437
Facility Type
Physician Office
Certificate Effective Date
December 28, 2024
Certificate Expiration Date
December 27, 2026
Laboratory Director
FRANCOIS FERRON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fairmont Childrens Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FAIRMONT CHILDRENS PLLC

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pediatrics
4002 BURKE RD STE 200
PASADENA, TX 77504
Pediatrics
4002 BURKE RD STE 200
PASADENA, TX 77504
Nurse Practitioner (Family)
4002 BURKE RD STE 200
PASADENA, TX 77504
Nurse Practitioner (Family)
4002 BURKE RD STE 200
PASADENA, TX 77504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033778170, enumerated as an "organization" on June 12, 2019.

The provider is located at 4002 BURKE RD STE 200 PASADENA, TX 77504 and the phone number is (832) 241-3540.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.