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LAKEMONT PEDIATRICS
NPI 1053793190
Pediatrics in Winter Park, FL

Active since June 25, 2015CLIA 10D2100310 · Waiver
157 N LAKEMONT AVE, WINTER PARK, FL 32792(407) 644-6618(407) 644-3755 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakemont Pediatrics NPPES

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

LAKEMONT PEDIATRICS (NPI 1053793190) is a healthcare organization registered as a pediatrics in Winter Park, Florida and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Vivien D Pham, Manager/physician, as its authorized official.

NPPES Registry Identity

NPI1053793190
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLAKEMONT PEDIATRICS
Location Address157 N LAKEMONT AVEWinter Park, FL 32792-3214
Mailing Address157 N Lakemont AveWinter Park, FL 32792-3214 · (407) 644-6618 · Fax (407) 644-3755
Phone(407) 644-6618
Fax(407) 644-3755
Organization SubpartNo
Authorized OfficialVivien D PhamManager/physician · (407) 644-6618
Enumeration DateJune 25, 2015
✔ NPI 1053793190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME100800
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.
157 N LAKEMONT AVE, Winter Park, FL 32792
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Other Identifiers 1

Medicaid281279700FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2100310

Lakemont Pediatrics · Winter Park, FL
Active · expires Aug 11, 2027
CLIA Number10D2100310
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorVivien Pham
Laboratory Phone(407) 644-6618
Laboratory LocationLakemont Pediatrics157 N Lakemont Ave, Winter Park, FL 32792
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIVIEN DOAN PHAM MD
Pediatrics
157 N LAKEMONT AVE
WINTER PARK, FL 32792
Orange County (407) 644-6618
DR. LAC HONG PHAM M.D.
Pediatrics
157 N LAKEMONT AVE
WINTER PARK, FL 32792
Orange County (407) 644-6618
LAC H PHAM,M.D.P.A.
Pediatrics
157 N LAKEMONT AVE
WINTER PARK, FL 32792
Orange County (407) 644-6618

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakemont Pediatrics's NPI number?

The NPI number for Lakemont Pediatrics is 1053793190. It was assigned to this organization in the NPPES registry on June 25, 2015.

Where is Lakemont Pediatrics located?

Lakemont Pediatrics is located at 157 N Lakemont Ave, Winter Park, FL 32792. The listed phone number is (407) 644-6618.

What is Lakemont Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Lakemont Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2100310) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakemont Pediatrics was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.