ALICE PEDIATRIC CLINIC
NPI 1477646271
Pediatrics in Alice, TX

Active since October 02, 2006CLIA 45D0680723 · Certificate of Compliance
305 E THIRD ST, ALICE, TX 78332(361) 664-5291(361) 668-1630 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alice Pediatric Clinic NPPES

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

ALICE PEDIATRIC CLINIC (NPI 1477646271) is a healthcare organization registered as a pediatrics in Alice, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 27, 2027 and lists William Nisimblat, Owner, as its authorized official.

NPPES Registry Identity

NPI1477646271
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWILLIAM NISIMBLAT MDPA
Location Address305 E THIRD STAlice, TX 78332-4705
Mailing AddressPo Box 289Alice, TX 78333-4705 · (361) 664-9353
Fax(361) 668-1630
Organization SubpartNo
Authorized OfficialWilliam NisimblatOwner · (361) 664-5291
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 9, 2011
NPI 1477646271 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 ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
305 E THIRD ST, Alice, TX 78332

Other Names 1

Doing Business AsAlice Pediatric Clinic

Other Identifiers 3

Medicaid119654502TX
Medicaid119654501TX
Medicare ID-Type Unspecified00T57WTX

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 45D0680723

Alice Pediatric Clinic · Alice, TX
Active · expires Oct 27, 2027
CLIA Number45D0680723
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorErik Nisimblat
Laboratory Phone(361) 664-9353
Laboratory LocationAlice Pediatric Clinic305 E 3rd, Alice, TX 78332
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.

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 William Nisimblat Mdpa's NPI number?

The NPI number for William Nisimblat Mdpa is 1477646271. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Alice Pediatric Clinic.

Where is William Nisimblat Mdpa located?

William Nisimblat Mdpa is located at 305 E Third St, Alice, TX 78332. The listed phone number is (361) 664-5291.

What is William Nisimblat Mdpa's specialty?

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

Does William Nisimblat Mdpa hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0680723) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does William Nisimblat Mdpa 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 2 other insurers list William Nisimblat Mdpa 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 William Nisimblat Mdpa was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.