COLORADO RIVER PEDIATRICS, LLC
NPI 1235410077
Pediatrics in Fort Mohave, AZ

Active since September 07, 2011CLIA 03D0990779 · Waiver
1611 JOY LANE, FORT MOHAVE, AZ 86426(928) 788-8000(928) 788-8008 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colorado River Pediatrics, Llc NPPES

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

COLORADO RIVER PEDIATRICS, LLC (NPI 1235410077) is a healthcare organization registered as a pediatrics in Fort Mohave, Arizona and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Alan Barton, Physician, as its authorized official.

NPPES Registry Identity

NPI1235410077
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOLORADO RIVER PEDIATRICS, LLC
Location Address1611 JOY LANEFort Mohave, AZ 86426
Mailing AddressPo Box 11009Fort Mohave, AZ 86427 · (928) 788-8000 · Fax (928) 788-8008
Fax(928) 788-8008
Organization SubpartNo
Authorized OfficialAlan BartonPhysician · (928) 788-8000
Enumeration DateSeptember 7, 2011
NPI 1235410077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in AZ · 29312
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.
1611 JOY LANE, Fort Mohave, AZ 86426

Other Identifiers 1

Medicaid590837AZ

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 SINGLE SPECIALTY GROUP

Accepted Insurance

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 03D0990779

Colorado River Pediatrics · Fort Mohave, AZ
Active · expires Aug 30, 2027
CLIA Number03D0990779
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorAlan J. Barton MD
Laboratory Phone(928) 788-8000
Laboratory LocationColorado River Pediatrics1611 Joy Lane Ste 2, Fort Mohave, AZ 86426
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

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

Pediatrics
1611 JOY LANE, STE B
FORT MOHAVE, AZ 86426

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 Colorado River Pediatrics, LLC's NPI number?

The NPI number for Colorado River Pediatrics, LLC is 1235410077. It was assigned to this organization in the NPPES registry on September 7, 2011.

Where is Colorado River Pediatrics, LLC located?

Colorado River Pediatrics, LLC is located at 1611 Joy Lane, Fort Mohave, AZ 86426. The listed phone number is (928) 788-8000.

What is Colorado River Pediatrics, LLC's specialty?

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

Does Colorado River Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0990779) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Colorado River Pediatrics, LLC accept?

Health plans from Ambetter from Arizona Complete Health list Colorado River Pediatrics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colorado River Pediatrics, LLC was last updated on September 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.