PERMIAN PEDIATRICS
NPI 1679022610
Pediatrics in Odessa, TX

Active since October 03, 2016CLIA 45D0990054 · Waiver
303 E 7TH ST, ODESSA, TX 79761(432) 582-2929 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Permian Pediatrics NPPES

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

PERMIAN PEDIATRICS (NPI 1679022610) is a healthcare organization registered as a pediatrics in Odessa, Texas and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Eddy Bello, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1679022610
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePERMIAN PEDIATRICS PA
Location Address303 E 7TH STOdessa, TX 79761
Mailing Address303 E 7th StOdessa, TX 79761-4579 · (432) 582-2929
Organization SubpartNo
Authorized OfficialEddy BelloPractice Administrator · (432) 582-2929
Enumeration DateOctober 3, 2016
Last NPPES UpdateMay 16, 2018
✔ NPI 1679022610 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.
303 E 7TH ST, Odessa, TX 79761

Other Names 1

Doing Business AsPermian Pediatrics

Other Identifiers 2

Medicaid367176002TX
Medicaid367176001TX

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 45D0990054

Permian Pediatrics · Odessa, TX
Active · expires Mar 27, 2027
CLIA Number45D0990054
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorManuel Castillo
Laboratory Phone(432) 582-2929
Laboratory LocationPermian Pediatrics303 East 7th Street, Odessa, TX 79761
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 3

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

Nurse Practitioner (Family)
303 E 7TH ST
ODESSA, TX 79761
Pediatrics
303 E 7TH ST
ODESSA, TX 79761
Pediatrics
303 E 7TH ST
ODESSA, TX 79761

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 Permian Pediatrics PA's NPI number?

The NPI number for Permian Pediatrics PA is 1679022610. It was assigned to this organization in the NPPES registry on October 3, 2016. The provider is doing business as Permian Pediatrics.

Where is Permian Pediatrics PA located?

Permian Pediatrics PA is located at 303 E 7th St, Odessa, TX 79761. The listed phone number is (432) 582-2929.

What is Permian Pediatrics PA's specialty?

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

Does Permian Pediatrics PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0990054) is associated with this NPI, valid through March 27, 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 Permian Pediatrics PA was last updated on May 16, 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.