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ASPEN PEDIATRIC CLINIC,INC.
NPI 1538304134
Clinic/Center in Victorville, CA

Active since December 10, 2008CLIA 05D1034135 · Waiver
15203 11TH ST, SUITE C, VICTORVILLE, CA 92395(760) 951-9985(760) 952-3387 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Aspen Pediatric Clinic,inc. NPPES

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

ASPEN PEDIATRIC CLINIC,INC. (NPI 1538304134) is a healthcare organization registered as a clinic/center in Victorville, California and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Marcelino S Calimlim, President, as its authorized official.

NPPES Registry Identity

NPI1538304134
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameASPEN PEDIATRIC CLINIC,INC.
Location Address15203 11TH ST, SUITE CVictorville, CA 92395-3737
Mailing Address15203 11th St, Suite CVictorville, CA 92395-3737 · (760) 951-9985 · Fax (760) 952-3387
Phone(760) 951-9985
Fax(760) 952-3387
Organization SubpartNo
Authorized OfficialMarcelino S CalimlimPresident · (760) 951-9985
Enumeration DateDecember 10, 2008
Last NPPES UpdateMarch 27, 2012
✔ NPI 1538304134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A79537
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPediatricsTaxonomy 208000000X · License A79537 (CA)
15203 11TH ST, Victorville, CA 92395
Open in Google Maps ↗

Other Names 1

Former Legal Business NameAspen Pediatric Clinic,inc.

Other Identifiers 1

Medicaid00A795370CA

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 05D1034135

Aspen Pediatric Clinic Inc · Victorville, CA
Active · expires Nov 23, 2026
CLIA Number05D1034135
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorMarcelino S. Calimlim MD
Laboratory Phone(760) 951-9985
Laboratory LocationAspen Pediatric Clinic Inc15203 Eleventh St Ste C, Victorville, CA 92395
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 5

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

JULIUS A CRUZ, MD, INC.
Surgery
15203 11TH ST, SUITE C
VICTORVILLE, CA 92395
San Bernardino County (760) 245-9714
JULIUS A CRUZ M.D.
Surgery
15203 11TH ST, STE C
VICTORVILLE, CA 92395
San Bernardino County (760) 245-9714
KONG D WONG MD INC
Clinic/Center (Primary Care)
15203 11TH ST, SUITE B
VICTORVILLE, CA 92395
San Bernardino County (760) 245-6691
NACO MEDICAL GROUP
Clinic/Center (Primary Care)
15203 11TH ST, SUITE E
VICTORVILLE, CA 92395
San Bernardino County (760) 245-3719
DR. MARCELINO S CALIMLIM JR. M.D.
Clinic/Center (Primary Care)
15203 11TH ST, SUITE C
VICTORVILLE, CA 92395
San Bernardino County (760) 951-9985

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 Aspen Pediatric Clinic,inc.'s NPI number?

The NPI number for Aspen Pediatric Clinic,inc. is 1538304134. It was assigned to this organization in the NPPES registry on December 10, 2008.

Where is Aspen Pediatric Clinic,inc. located?

Aspen Pediatric Clinic,inc. is located at 15203 11th St Suite C, Victorville, CA 92395. The listed phone number is (760) 951-9985.

What is Aspen Pediatric Clinic,inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Aspen Pediatric Clinic,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1034135) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aspen Pediatric Clinic,inc. was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.