SOUTHWEST PEDIATRIC CARE, LLC
NPI 1881089886
Clinic/Center - Primary Care in Deming, NM

Active since April 06, 2015CLIA 32D2110182 · Waiver
1020 S 8TH ST, SUITE A, DEMING, NM 88030(575) 936-4350(575) 936-4351 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, May 7, 2024, Oct 21, 2021 and 1 more (4 updates tracked since 2015).

About Southwest Pediatric Care, Llc NPPES

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

SOUTHWEST PEDIATRIC CARE, LLC (NPI 1881089886) is a healthcare organization registered as a primary care in Deming, New Mexico and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Joel Rene Roque, Coo / Co-owner, as its authorized official.

NPPES Registry Identity

NPI1881089886
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHWEST PEDIATRIC AND FAMILY CARE, LLC
Location Address1020 S 8TH ST, SUITE ADeming, NM 88030-4007
Mailing Address1020 S 8th St, ADeming, NM 88030-4007 · (575) 936-4350 · Fax (575) 936-4351
Fax(575) 936-4351
Organization SubpartNo
Authorized OfficialJoel Rene RoqueCoo / Co-owner · (575) 936-4350
Enumeration DateApril 6, 2015
Last NPPES UpdateMay 16, 20244 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1881089886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPediatricsTaxonomy 208000000X
1020 S 8TH ST, Deming, NM 88030

Other Names 1

Doing Business AsSouthwest Pediatric Care, Llc

Other Identifiers 4

Medicaid5558582NM
Medicaid965048AZ
Other1376626564AZ · Type 1 Npi Florence C Roque
Medicaid48836893NM

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

Accepted 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 32D2110182

Southwest Pediatric Care LLC · Deming, NM
Active · expires Mar 9, 2028
CLIA Number32D2110182
Laboratory TypePractitioner Other
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorJoel Roque
Laboratory Phone(575) 936-4350
Laboratory LocationSouthwest Pediatric Care LLC1020 S 8th Street, Suite A, Deming, NM 88030
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 5

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

Nurse Practitioner (Pediatrics)
1020 S 8TH ST, SUITE A
DEMING, NM 88030
Internal Medicine (Hematology & Oncology)
1020 S 8TH ST, STE. B
DEMING, NM 88030
Nurse Practitioner (Primary Care)
1020 S 8TH ST
DEMING, NM 88030
Family Medicine
1020 S 8TH ST
DEMING, NM 88030
Internal Medicine (Hematology & Oncology)
1020 S 8TH ST, SUITE B
DEMING, NM 88030

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 Southwest Pediatric And Family Care, LLC's NPI number?

The NPI number for Southwest Pediatric And Family Care, LLC is 1881089886. It was assigned to this organization in the NPPES registry on April 6, 2015. The provider is doing business as Southwest Pediatric Care, LLC.

Where is Southwest Pediatric And Family Care, LLC located?

Southwest Pediatric And Family Care, LLC is located at 1020 S 8th St Suite A, Deming, NM 88030. The listed phone number is (575) 936-4350.

What is Southwest Pediatric And Family Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Southwest Pediatric And Family Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2110182) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southwest Pediatric And Family Care, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Southwest Pediatric And Family Care, LLC 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 Southwest Pediatric And Family Care, LLC was last updated on May 16, 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.