PEDIATRIC KIDS CLINIC PLLC
NPI 1295561447
Clinic/Center - Primary Care in San Juan, TX

Active since September 12, 2024CLIA 45D2316762 · Certificate of Compliance
1200 E BUSINESS 83 STE 1200, SAN JUAN, TX 78589(956) 396-4525(956) 396-4520 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, Sep 16, 2024, Sep 12, 2024 (3 updates tracked since 2024).

About Pediatric Kids Clinic Pllc NPPES

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

PEDIATRIC KIDS CLINIC PLLC (NPI 1295561447) is a healthcare organization registered as a primary care in San Juan, Texas and active in the NPI registry since September 2024. The organization holds a CLIA Certificate of Compliance certificate valid through May 27, 2028 and lists Julio Cesar Morales, Owner, as its authorized official.

NPPES Registry Identity

NPI1295561447
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDIATRIC KIDS CLINIC PLLC
Location Address1200 E BUSINESS 83 STE 1200San Juan, TX 78589-4758
Mailing Address1200 E Bus 83 Ste 1200San Juan, TX 78589-4758 · (956) 396-4525 · Fax (956) 396-4520
Fax(956) 396-4520
Organization SubpartNo
Authorized OfficialJulio Cesar MoralesOwner · (956) 396-4525
Enumeration DateSeptember 12, 2024
Last NPPES UpdateJuly 17, 20253 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
NPI 1295561447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1200 E BUSINESS 83 STE 1200, San Juan, TX 78589

Other Identifiers 1

Medicaid1871019109TX

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 Compliance 45D2316762

Pediatric Kids Clinic PLLC · San Juan, TX
Active · expires May 27, 2028
CLIA Number45D2316762
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorDonna G. Joule
Laboratory Phone(956) 396-4525
Laboratory LocationPediatric Kids Clinic PLLC1200 E Business 83 Hwy Suite 1200, San Juan, TX 78589
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
1200 E BUSINESS 83 STE 1200
SAN JUAN, TX 78589

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 Pediatric Kids Clinic PLLC's NPI number?

The NPI number for Pediatric Kids Clinic PLLC is 1295561447. It was assigned to this organization in the NPPES registry on September 12, 2024.

Where is Pediatric Kids Clinic PLLC located?

Pediatric Kids Clinic PLLC is located at 1200 E Business 83 Ste 1200, San Juan, TX 78589. The listed phone number is (956) 396-4525.

What is Pediatric Kids Clinic PLLC's specialty?

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

Does Pediatric Kids Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2316762) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Kids Clinic PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Pediatric Kids Clinic PLLC 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 Pediatric Kids Clinic PLLC was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.