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CHILDREN AND ADOLESCENTS CLINIC
NPI 1558863902
Pediatrics in Medford, OR

Active since March 01, 2018CLIA 38D0627729 · Waiver
2940 DOCTORS PARK DR, MEDFORD, OR 97504(541) 779-1300(541) 779-9171 Get Directions Write a Review

NPPES record last updated: March 1, 2018. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Children And Adolescents Clinic NPPES

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

CHILDREN AND ADOLESCENTS CLINIC (NPI 1558863902) is a healthcare organization registered as a pediatrics in Medford, Oregon and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Jeri L Sullivan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558863902
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameROGUE VALLEY CHILDRENS PHYSICIANS
Location Address2940 DOCTORS PARK DRMedford, OR 97504-8127
Mailing Address2940 Doctors Park DrMedford, OR 97504-8127 · (541) 779-1300 · Fax (541) 779-9171
Phone(541) 779-1300
Fax(541) 779-9171
Organization SubpartNo
Authorized OfficialJeri L SullivanOffice Manager · (541) 779-1300
Enumeration DateMarch 1, 2018
✔ NPI 1558863902 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.
2940 DOCTORS PARK DR, Medford, OR 97504
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Other Names 1

Doing Business AsChildren And Adolescents Clinic

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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 Waiver 38D0627729

Children & Adolescents Clinic Lab · Medford, OR
Active · expires Apr 24, 2028
CLIA Number38D0627729
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorSarah C. Christensen
Laboratory Phone(541) 779-1300
Laboratory LocationChildren & Adolescents Clinic Lab2940 Doctors Park Dr, Medford, OR 97504
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LAWRENCE C STUMPFF MD
Pediatrics
2940 DOCTORS PARK DR
MEDFORD, OR 97504
Jackson County (541) 779-1300
ROGUE VALLEY PHYSICIANS
Clinic/Center (Primary Care)
2940 DOCTORS PARK DR
MEDFORD, OR 97504
Jackson County (541) 282-2208
SARAH M CHRISTENSEN MD
Pediatrics
2940 DOCTORS PARK DR
MEDFORD, OR 97504
Jackson County (541) 779-1300

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 Rogue Valley Childrens Physicians's NPI number?

The NPI number for Rogue Valley Childrens Physicians is 1558863902. It was assigned to this organization in the NPPES registry on March 1, 2018. The provider is doing business as Children And Adolescents Clinic.

Where is Rogue Valley Childrens Physicians located?

Rogue Valley Childrens Physicians is located at 2940 Doctors Park Dr, Medford, OR 97504. The listed phone number is (541) 779-1300.

What is Rogue Valley Childrens Physicians's specialty?

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

Does Rogue Valley Childrens Physicians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0627729) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rogue Valley Childrens Physicians accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Rogue Valley Childrens Physicians 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 Rogue Valley Childrens Physicians was last updated on March 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.