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HISPANIC AMERICAN PEDIATRIC ASSOCIATES
NPI 1386719524
Clinic/Center - Primary Care in Alexandria, VA

Active since November 22, 2006CLIA 49D1037007 · Waiver
5130 DUKE STREET, SUITE 7, ALEXANDRIA, VA 22304(703) 751-2021(703) 751-2071 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 30, 2017, Jan 25, 2017 (2 updates tracked since 2017).

About Hispanic American Pediatric Associates NPPES

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

HISPANIC AMERICAN PEDIATRIC ASSOCIATES (NPI 1386719524) is a healthcare organization registered as a primary care in Alexandria, Virginia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Jemal Omidvar, President, as its authorized official.

NPPES Registry Identity

NPI1386719524
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHISPANIC AMERICAN PEDIATRIC ASSOCIATES
Location Address5130 DUKE STREET, SUITE 7Alexandria, VA 22304-7207
Mailing Address5130 Duke St Ste 7, Suite 229Alexandria, VA 22304-2955 · (703) 751-2021 · Fax (703) 751-2071
Phone(703) 751-2021
Fax(703) 751-2071
Organization SubpartNo
Authorized OfficialJemal OmidvarPresident · (703) 751-2021
Enumeration DateNovember 22, 2006
Last NPPES UpdateJanuary 30, 20172 updates tracked since enumeration
✔ NPI 1386719524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VA · 40990-01
5130 DUKE STREET, Alexandria, VA 22304
Open in Google Maps ↗

Other Identifiers 3

Medicaid002632800MD
Medicaid010125561VA
Medicaid010117534VA

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 49D1037007

Hispanic American Pediatric Associates · Alexandria, VA
Active · expires Feb 13, 2027
CLIA Number49D1037007
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorJemal Omidvar
Laboratory Phone(703) 751-2021
Laboratory LocationHispanic American Pediatric Associates5130 Duke Street - Suite 7, Alexandria, VA 22304
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.

SINA J. SABET MD PC
Ophthalmology
5130 DUKE STREET, SUITE 9
ALEXANDRIA, VA 22304
Alexandria City (703) 370-9411

Frequently Asked Questions

What is HISPANIC AMERICAN PEDIATRIC ASSOCIATES's NPI number?

The NPI number assigned to this healthcare provider is 1386719524, enumerated as an "organization" on November 22, 2006.

Where is the provider located?

The provider is located at 5130 DUKE STREET SUITE 7 ALEXANDRIA, VA 22304 and the phone number is (703) 751-2021.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

What insurance does HISPANIC AMERICAN PEDIATRIC ASSOCIATES accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.