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THE PEDIATRIC & ADOLESCENTS CLINIC INC.
NPI 1700646288
Pediatrics in Tamuning, GU

Active since March 20, 2024CLIA 65D2048083 · Waiver
415 CHALAN SAN ANTONIO STE 109, TAMUNING, GU 96913(671) 647-7337(671) 647-7336 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Pediatric & Adolescents Clinic Inc. NPPES

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

THE PEDIATRIC & ADOLESCENTS CLINIC INC. (NPI 1700646288) is a healthcare organization registered as a pediatrics in Tamuning, Guam and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Dina D Domalanta-villaluna, President, as its authorized official.

NPPES Registry Identity

NPI1700646288
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTHE PEDIATRIC & ADOLESCENTS CLINIC INC.
Location Address415 CHALAN SAN ANTONIO STE 109Tamuning, GU 96913-3620
Mailing Address415 Chalan San Antonio Ste 109Tamuning, GU 96913-3620 · (671) 647-7337 · Fax (671) 647-7336
Phone(671) 647-7337
Fax(671) 647-7336
Organization SubpartNo
Authorized OfficialDina D Domalanta-villalunaPresident · (671) 647-7337
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1700646288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 65D2048083

The Pediatric & Adolescents Clinic · Tamuning, GU
Active · expires Oct 8, 2026
CLIA Number65D2048083
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorDina D. Domalanta-Villaluna
Laboratory Phone(671) 647-8336
Laboratory LocationThe Pediatric & Adolescents Clinic415 Chalan San Antonio Ste101, Tamuning, GU 96913
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. DINA D DOMALANTA-VILLALUNA MD
Pediatrics
415 CHALAN SAN ANTONIO STE 109
TAMUNING, GU 96913
Guam (671) 647-7337

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 The Pediatric & Adolescents Clinic Inc.'s NPI number?

The NPI number for The Pediatric & Adolescents Clinic Inc. is 1700646288. It was assigned to this organization in the NPPES registry on March 20, 2024.

Where is The Pediatric & Adolescents Clinic Inc. located?

The Pediatric & Adolescents Clinic Inc. is located at 415 Chalan San Antonio Ste 109, Tamuning, GU 96913. The listed phone number is (671) 647-7337.

What is The Pediatric & Adolescents Clinic Inc.'s specialty?

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

Does The Pediatric & Adolescents Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 65D2048083) is associated with this NPI, valid through October 8, 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 The Pediatric & Adolescents Clinic Inc. was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.