TEPEYAC FAMILY CENTER, LLC - NPI 1689755696 - Obstetrics & Gynecology in Fairfax, VA

Q: What is Tepeyac Family Center, LLC's NPI number?

The NPI number for Tepeyac Family Center, LLC is 1689755696. It was assigned to this organization in the NPPES registry on October 17, 2006.

Q: What is Tepeyac Family Center, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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About Tepeyac Family Center, Llc NPPES

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

TEPEYAC FAMILY CENTER, LLC (NPI 1689755696) is a healthcare organization registered as an obstetrics & gynecology in Fairfax, Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through June 28, 2027 and lists Farah M. Aridi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689755696

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameTEPEYAC FAMILY CENTER, LLC

Location Address4001 FAIR RIDGE DR STE 304Fairfax, VA 22033-2917

Mailing Address4001 Fair Ridge Dr Ste 304Fairfax, VA 22033-2917 · (703) 273-9440 · Fax (703) 273-9445

Phone(703) 273-9440

Fax(703) 273-9445

Organization SubpartNo

Authorized OfficialFarah M. AridiAdministrator · (703) 293-9440

Enumeration DateOctober 17, 2006

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1689755696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4001 FAIR RIDGE DR STE 304, Fairfax, VA 22033

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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 for Provider-Performed Microscopy Procedures (PPMP) 49D0962295

Tepeyac Family Center · Fairfax, VA

Active · expires Jun 28, 2027

CLIA Number49D0962295

Laboratory TypePhysician Office

Certificate Effective DateJune 29, 2025

Certificate Expiration DateJune 28, 2027

Laboratory DirectorMiriam C. Pereira

Laboratory Phone(703) 273-9440

Laboratory LocationTepeyac Family Center4001 Fair Ridge Drive, Suite 304, Fairfax, VA 22033

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

DR. JOHN T. BRUCHALSKI M.D.09/09/1960

Obstetrics & Gynecology