1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Pediatrics
  6. NPI Profile

BEACHES PEDIATRICS, PA
NPI 1295989606
Pediatrics in Jacksonville, FL

Active since November 12, 2008CLIA 10D1075329 · Waiver
13820 OLD SAINT AUGUSTINE RD STE 101, JACKSONVILLE, FL 32258(904) 260-2565 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2024, Aug 9, 2023, Jun 22, 2021 and 3 more (6 updates tracked since 2020).

About Beaches Pediatrics, Pa NPPES

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

BEACHES PEDIATRICS, PA (NPI 1295989606) is a healthcare organization registered as a pediatrics in Jacksonville, Florida and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through October 17, 2027, maintains a secondary practice location in Jacksonville Beach, and lists Jorge Rivera-jimenez, President, as its authorized official.

NPPES Registry Identity

NPI1295989606
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBEACHES PEDIATRICS, PA
Location Address13820 OLD SAINT AUGUSTINE RD STE 101Jacksonville, FL 32258-5424
Mailing Address13820 Old Saint Augustine Rd Ste 101Jacksonville, FL 32258-5424 · (904) 260-2565 · Fax (904) 246-6878
Phone(904) 260-2565
Organization SubpartNo
Authorized OfficialJorge Rivera-jimenezPresident · (904) 246-8684
Enumeration DateNovember 12, 2008
Last NPPES UpdateMay 3, 20246 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1295989606 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 ListedObstetrics & GynecologyTaxonomy 207V00000X
13820 OLD SAINT AUGUSTINE RD STE 101, Jacksonville, FL 32258
Open in Google Maps ↗

Secondary Practice Location 1

Location 1333 4th Ave NJacksonville Beach, FL 32250-5621 · Phone (904) 246-8684 · Fax (904) 246-8380

Other Identifiers 1

Medicaid018225000FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D1075329

Beaches Pediatrics PA · Jacksonville, FL
Active · expires Oct 17, 2027
CLIA Number10D1075329
Laboratory TypePractitioner Other
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorJorge Rivera
Laboratory Phone(904) 246-8684
Laboratory LocationBeaches Pediatrics PA13820 Old St Augustine Rd Ste 101, Jacksonville, FL 32258
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

TRU-HORMONES
Clinic/Center (Multi-Specialty)
13820 OLD SAINT AUGUSTINE RD STE 101
JACKSONVILLE, FL 32258
Duval County (904) 329-3868
DR. JENNIFER A OLES-DUGRE M.D.
Pediatrics
13820 OLD SAINT AUGUSTINE RD STE 101
JACKSONVILLE, FL 32258
Duval County (904) 260-2565
DR. MICHELLE E TULLA MD
Obstetrics & Gynecology (Gynecology)
13820 OLD SAINT AUGUSTINE RD STE 101
JACKSONVILLE, FL 32258
Duval County (904) 260-2565
DR. JORGE RIVERA-JIMENEZ M.D.
Pediatrics
13820 OLD SAINT AUGUSTINE RD STE 101
JACKSONVILLE, FL 32258
Duval County (049) 260-2565

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 Beaches Pediatrics, PA's NPI number?

The NPI number for Beaches Pediatrics, PA is 1295989606. It was assigned to this organization in the NPPES registry on November 12, 2008.

Where is Beaches Pediatrics, PA located?

Beaches Pediatrics, PA is located at 13820 Old Saint Augustine Rd Ste 101, Jacksonville, FL 32258. The listed phone number is (904) 260-2565.

What is Beaches Pediatrics, PA's specialty?

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

Does Beaches Pediatrics, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1075329) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beaches Pediatrics, PA accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Beaches Pediatrics, PA 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 Beaches Pediatrics, PA was last updated on May 3, 2024. 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.