1. Home
  2. Directory
  3. New Mexico
  4. Los Alamos
  5. Pediatrics
  6. NPI Profile

CHILDRENS CLINIC, P.A.
NPI 1679793277
Pediatrics in Los Alamos, NM

Active since April 26, 2007CLIA 32D0536467 · Waiver
3917 WEST RD, SUITE 128, LOS ALAMOS, NM 87544(505) 662-4234(505) 662-7894 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Childrens Clinic, P.a. NPPES

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

CHILDRENS CLINIC, P.A. (NPI 1679793277) is a healthcare organization registered as a pediatrics in Los Alamos, New Mexico and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Michael W Nichols, President, as its authorized official.

NPPES Registry Identity

NPI1679793277
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDRENS CLINIC, P.A.
Location Address3917 WEST RD, SUITE 128Los Alamos, NM 87544-2275
Mailing Address3917 West Rd, Suite 128Los Alamos, NM 87544-2275 · (505) 662-4234 · Fax (505) 662-7894
Phone(505) 662-4234
Fax(505) 662-7894
Organization SubpartNo
Authorized OfficialMichael W NicholsPresident · (505) 662-4234
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679793277 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.
3917 WEST RD, Los Alamos, NM 87544
Open in Google Maps ↗

Other Identifiers 1

Medicaid51342NM

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 32D0536467

Childrens Clinic PA · Los Alamos, NM
Active · expires May 31, 2028
CLIA Number32D0536467
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDr. John B. Neal
Laboratory Phone(505) 662-4234
Laboratory LocationChildrens Clinic PA3917 West Road Suite 128, Los Alamos, NM 87544
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 20

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

PETER M. SHEPARD M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
3917 WEST RD, STE 200
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-4147
DR. LORI S. WHITLEY MD
Dermatology
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Los Alamos County (505) 662-4351
PHC-LOS ALAMOS INC
Emergency Medicine (Emergency Medical Services)
3917 WEST RD
LOS ALAMOS, NM 87544
Los Alamos County (505) 662-3452
DR. RODNEY JAY BARKER MD
Surgery
3917 WEST RD, SUITE #125
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-3030
DR. ANN CAROLYN LINNEBUR MD
Internal Medicine (Cardiovascular Disease)
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-8900
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3917 WEST RD, STE G-02
LOS ALAMOS, NM 87544
Los Alamos County (505) 662-0629
DR. MOLLY VOSBURG MD
Internal Medicine
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-8900
MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO
Internal Medicine (Cardiovascular Disease)
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-8900

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 Childrens Clinic, P.A.'s NPI number?

The NPI number for Childrens Clinic, P.A. is 1679793277. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Childrens Clinic, P.A. located?

Childrens Clinic, P.A. is located at 3917 West Rd Suite 128, Los Alamos, NM 87544. The listed phone number is (505) 662-4234.

What is Childrens Clinic, P.A.'s specialty?

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

Does Childrens Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0536467) is associated with this NPI, valid through May 31, 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 Childrens Clinic, P.A. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.