1. Home
  2. Directory
  3. Pennsylvania
  4. Collegeville
  5. Pediatrics
  6. NPI Profile

PANDA BEAR PEDIATRICS
NPI 1497788327
Pediatrics in Collegeville, PA

Active since July 07, 2006CLIA 39D1027913 · Waiver
555 SOUTH SECOND AVENUE, BUILDING B, SUITE 200, COLLEGEVILLE, PA 19426(610) 409-8050(610) 409-8075 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Panda Bear Pediatrics NPPES

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

PANDA BEAR PEDIATRICS (NPI 1497788327) is a healthcare organization registered as a pediatrics in Collegeville, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists Larissa F Dominy, Physician/managing Member, as its authorized official.

NPPES Registry Identity

NPI1497788327
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePANDA BEAR PEDIATRICS
Location Address555 SOUTH SECOND AVENUE, BUILDING B, SUITE 200Collegeville, PA 19426-2854
Mailing Address102 Shetland WayCollegeville, PA 19426-2854 · (610) 409-8050 · Fax (610) 409-8075
Phone(610) 409-8050
Fax(610) 409-8075
Organization SubpartNo
Authorized OfficialLarissa F DominyPhysician/managing Member · (610) 409-8050
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497788327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · OS-009162L
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.
555 SOUTH SECOND AVENUE, Collegeville, PA 19426
Open in Google Maps ↗

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 39D1027913

Panda Bear Pediatrics LLC · Collegeville, PA
Active · expires Jul 15, 2028
CLIA Number39D1027913
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorLarissa F. Dominy Do
Laboratory Phone(610) 409-8050
Laboratory LocationPanda Bear Pediatrics LLC409 Second Avenue Suite 303, Collegeville, PA 19426
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Panda Bear Pediatrics's NPI number?

The NPI number for Panda Bear Pediatrics is 1497788327. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Panda Bear Pediatrics located?

Panda Bear Pediatrics is located at 555 South Second Avenue Building B, Suite 200, Collegeville, PA 19426. The listed phone number is (610) 409-8050.

What is Panda Bear Pediatrics's specialty?

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

Does Panda Bear Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1027913) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Panda Bear Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.