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WEST COAST PEDIATRICS
NPI 1710235569
Pediatrics in Bradenton, FL

Active since August 28, 2012CLIA 10D0954077 · Waiver
1414 59TH STREET WEST, BRADENTON, FL 34209(941) 761-0663(941) 761-3347 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Coast Pediatrics NPPES

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

WEST COAST PEDIATRICS (NPI 1710235569) is a healthcare organization registered as a pediatrics in Bradenton, Florida and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Constance Charles-logan, Physician, as its authorized official.

NPPES Registry Identity

NPI1710235569
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWEST COAST PEDIATRICS
Location Address1414 59TH STREET WESTBradenton, FL 34209-4607
Mailing Address1414 59th Street WestBradenton, FL 34209-4607 · (941) 761-0663 · Fax (941) 761-3347
Phone(941) 761-0663
Fax(941) 761-3347
Organization SubpartNo
Authorized OfficialConstance Charles-loganPhysician · (941) 761-0663
Enumeration DateAugust 28, 2012
Last NPPES UpdateFebruary 7, 2024
✔ NPI 1710235569 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.
1414 59TH STREET WEST, Bradenton, FL 34209
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.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 10D0954077

West Coast Pediatrics · Bradenton, FL
Active · expires Nov 16, 2026
CLIA Number10D0954077
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorConstance Charles-Logan
Laboratory Phone(941) 761-0663
Laboratory LocationWest Coast Pediatrics1414 59th St W, Bradenton, FL 34209
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 2

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

MARIA BREANNE LOWERY WALKER APRN
Nurse Practitioner (Family)
1414 59TH STREET WEST
BRADENTON, FL 34209
Manatee County (941) 761-0663
DR. JESSICA M. WISHNEW MD
Pediatrics
1414 59TH STREET WEST
BRADENTON, FL 34209
Manatee County (941) 761-0663

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 West Coast Pediatrics's NPI number?

The NPI number for West Coast Pediatrics is 1710235569. It was assigned to this organization in the NPPES registry on August 28, 2012.

Where is West Coast Pediatrics located?

West Coast Pediatrics is located at 1414 59th Street West, Bradenton, FL 34209. The listed phone number is (941) 761-0663.

What is West Coast Pediatrics's specialty?

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

Does West Coast Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0954077) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Coast Pediatrics accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list West Coast Pediatrics 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 West Coast Pediatrics was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.