AVALON PEDIATRICS, INC.
NPI 1386916138
Pediatrics in Pismo Beach, CA

Active since February 08, 2012CLIA 05D1098125 · Waiver
911 OAK PARK BLVD STE 107, PISMO BEACH, CA 93449(805) 474-8700(805) 474-8466 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Avalon Pediatrics, Inc. NPPES

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

AVALON PEDIATRICS, INC. (NPI 1386916138), doing business as Amy E. Webb, M.d. Pediatrics, Inc., is a healthcare organization registered as a pediatrics in Pismo Beach, California and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Robert S. Evans, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386916138
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameAVALON PEDIATRICS, INC.
Location Address911 OAK PARK BLVD STE 107Pismo Beach, CA 93449-3406
Mailing Address911 Oak Park Blvd Ste 107Pismo Beach, CA 93449-3406 · (805) 474-8700 · Fax (805) 474-8466
Fax(805) 474-8466
Organization SubpartNo
Authorized OfficialRobert S. EvansCeo · (805) 474-8700
Enumeration DateFebruary 8, 2012
Last NPPES UpdateJune 1, 2023
NPPES CertifiedJune 1, 2023
NPI 1386916138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
911 OAK PARK BLVD STE 107, Pismo Beach, CA 93449

Other Names 1

Former Legal Business NameAmy E. Webb, M.d. Pediatrics, Inc.

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

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 05D1098125

Avalon Pediatrics Inc · Pismo Beach, CA
Active · expires Apr 12, 2027
CLIA Number05D1098125
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorRobert S. Evans
Laboratory Phone(805) 474-8700
Laboratory LocationAvalon Pediatrics Inc911 Oak Park Blvd Ste 107, Pismo Beach, CA 93449
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.

Pediatrics
911 OAK PARK BLVD STE 107
PISMO BEACH, CA 93449

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 Avalon Pediatrics, Inc.'s NPI number?

The NPI number for Avalon Pediatrics, Inc. is 1386916138. It was assigned to this organization in the NPPES registry on February 8, 2012. The provider was formerly known as Amy E. Webb, M.D. Pediatrics, Inc..

Where is Avalon Pediatrics, Inc. located?

Avalon Pediatrics, Inc. is located at 911 Oak Park Blvd Ste 107, Pismo Beach, CA 93449. The listed phone number is (805) 474-8700.

What is Avalon Pediatrics, Inc.'s specialty?

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

Does Avalon Pediatrics, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1098125) is associated with this NPI, valid through April 12, 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 Avalon Pediatrics, Inc. was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.