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PEDIATRICS WEST, P.C.
NPI 1275559569
Clinic/Center - Primary Care in Wheat Ridge, CO

Active since July 14, 2006CLIA 06D1070365 · Waiver
3555 LUTHERAN PARKWAY, SUITE 200, WHEAT RIDGE, CO 80033(720) 284-3700(303) 467-0525 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatrics West, P.c. NPPES

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

PEDIATRICS WEST, P.C. (NPI 1275559569) is a healthcare organization registered as a primary care in Wheat Ridge, Colorado and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 26, 2027, maintains a secondary practice location in Littleton, and lists Tym C Johnson, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1275559569
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDIATRICS WEST, P.C.
Location Address3555 LUTHERAN PARKWAY, SUITE 200Wheat Ridge, CO 80033-6027
Mailing Address3555 Lutheran Parkway, Suite 200Wheat Ridge, CO 80033-6027 · (720) 284-3700 · Fax (303) 467-0525
Phone(720) 284-3700
Fax(303) 467-0525
Organization SubpartNo
Authorized OfficialTym C JohnsonPractice Administrator · (720) 284-3708
Enumeration DateJuly 14, 2006
Last NPPES UpdateJune 12, 2020
NPPES CertifiedJune 12, 2020
✔ NPI 1275559569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3555 LUTHERAN PARKWAY, Wheat Ridge, CO 80033
Open in Google Maps ↗

Secondary Practice Location 1

Location 113402 W Coal Mine Ave Ste 200Littleton, CO 80127-5407 · Phone (720) 284-3700

Other Identifiers 1

Medicaid08683778CO

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 06D1070365

Pediatrics West (southwest Office) · Littleton, CO
Active · expires Jun 26, 2027
CLIA Number06D1070365
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorSusan Fudge-Erickson, MD
Laboratory Phone(720) 284-3700
Laboratory LocationPediatrics West (southwest Office)13402 E Coalmine Ave #200, Littleton, CO 80127
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. SUSAN M. FUDGE-ERICKSON M.D.
Pediatrics
3555 LUTHERAN PARKWAY, SUITE 200
WHEAT RIDGE, CO 80033
Jefferson County (720) 284-3700
DR. CYNTHIA L. FREDERICK M.D.
Pediatrics
3555 LUTHERAN PARKWAY, SUITE 200
WHEAT RIDGE, CO 80033
Jefferson County (720) 284-3700
JESSICA RODRIGUES JOHNSON PA-C
Physician Assistant (Medical)
3555 LUTHERAN PARKWAY, SUITE 340
WHEAT RIDGE, CO 80033
Jefferson County (303) 996-6005
ASSOCIATES IN WOMEN'S HEALTH, PC
Obstetrics & Gynecology
3555 LUTHERAN PARKWAY, SUITE 150
WHEAT RIDGE, CO 80033
Jefferson County (303) 940-1867
DR. NICKI A BACON M.D.
Pediatrics
3555 LUTHERAN PARKWAY, SUITE 200
WHEAT RIDGE, CO 80033
Jefferson County (720) 284-3700

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 Pediatrics West, P.C.'s NPI number?

The NPI number for Pediatrics West, P.C. is 1275559569. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Pediatrics West, P.C. located?

Pediatrics West, P.C. is located at 3555 Lutheran Parkway Suite 200, Wheat Ridge, CO 80033. The listed phone number is (720) 284-3700.

What is Pediatrics West, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pediatrics West, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1070365) is associated with this NPI, valid through June 26, 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 Pediatrics West, P.C. was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.