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PEDS TOTS TO TEENS LLC
NPI 1245920396
Pediatrics in Las Cruces, NM

Active since May 11, 2023CLIA 32D2291916 · Waiver
1180 MALL DR, LAS CRUCES, NM 88011(575) 259-3785(575) 532-9221 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peds Tots To Teens Llc NPPES

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

PEDS TOTS TO TEENS LLC (NPI 1245920396) is a healthcare organization registered as a pediatrics in Las Cruces, New Mexico and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Usha Phillips, Owner, as its authorized official.

NPPES Registry Identity

NPI1245920396
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDS TOTS TO TEENS LLC
Location Address1180 MALL DRLas Cruces, NM 88011-8101
Mailing Address1180 Mall DrLas Cruces, NM 88011-8101 · (575) 259-3785 · Fax (575) 532-9221
Phone(575) 259-3785
Fax(575) 532-9221
Organization SubpartNo
Authorized OfficialUsha PhillipsOwner · (575) 259-3785
Enumeration DateMay 11, 2023
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1245920396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X
1180 MALL DR, Las Cruces, NM 88011
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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

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 32D2291916

Peds Tots To Teens · Las Cruces, NM
Active · expires Oct 17, 2027
CLIA Number32D2291916
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorUsha Phillips
Laboratory Phone(575) 386-6876
Laboratory LocationPeds Tots To Teens1180 Mall Drive, Ste B, Las Cruces, NM 88011
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

NATIONWIDE HEARING SERVICES, INC.
Exclusive Provider Organization
1180 MALL DR, SUITE C
LAS CRUCES, NM 88011
Doña Ana County (575) 521-1942
ANGELICA CAGLIA MD PC
Internal Medicine
1180 MALL DR, STE. C
LAS CRUCES, NM 88011
Doña Ana County (505) 532-5500
LAS CRUCES CANCER CARE LLC
Internal Medicine (Medical Oncology)
1180 MALL DR, SUITE B
LAS CRUCES, NM 88011
Doña Ana County (575) 521-4601
ANGELICA A. CAGLIA MD
Internal Medicine
1180 MALL DR, SUITE C
LAS CRUCES, NM 88011
Doña Ana County (505) 532-5500
DR. GAUDENCIO ORTIZ PAVIA M.D.
Internal Medicine
1180 MALL DR, #A
LAS CRUCES, NM 88011
Doña Ana County (505) 523-4344
GAUDENCIO PAVIA MD LLC
Internal Medicine
1180 MALL DR, SUITE A
LAS CRUCES, NM 88011
Doña Ana County (575) 523-4344

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 Peds Tots To Teens LLC's NPI number?

The NPI number for Peds Tots To Teens LLC is 1245920396. It was assigned to this organization in the NPPES registry on May 11, 2023.

Where is Peds Tots To Teens LLC located?

Peds Tots To Teens LLC is located at 1180 Mall Dr, Las Cruces, NM 88011. The listed phone number is (575) 259-3785.

What is Peds Tots To Teens LLC's specialty?

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

Does Peds Tots To Teens LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2291916) is associated with this NPI, valid through October 17, 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 Peds Tots To Teens LLC was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.