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VIP PEDIATRICS, LLC
NPI 1972261063
Pediatrics in Pasadena, CA

Active since December 06, 2021CLIA 05D2262839 · Waiver
370 MERCEDES AVE, PASADENA, CA 91107(703) 963-2548 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vip Pediatrics, Llc NPPES

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

VIP PEDIATRICS, LLC (NPI 1972261063) is a healthcare organization registered as a pediatrics in Pasadena, California and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through June 19, 2028 and lists Anastasia Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1972261063
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameVIP PEDIATRICS, LLC
Location Address370 MERCEDES AVEPasadena, CA 91107-2828
Mailing Address281 E Colorado Blvd Unit 2499Pasadena, CA 91102-7075 · (703) 963-2548
Phone(703) 963-2548
Organization SubpartNo
Authorized OfficialAnastasia WilliamsOwner · (703) 963-2548
Enumeration DateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
✔ NPI 1972261063 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.
370 MERCEDES AVE, Pasadena, CA 91107
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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 of Waiver 05D2262839

Vip Pedaitrics · Pasadena, CA
Active · expires Jun 19, 2028
CLIA Number05D2262839
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorAnastasia Williams
Laboratory Phone(703) 963-2548
Laboratory LocationVip Pedaitrics370 Mercedes Ave, Pasadena, CA 91107
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vip Pediatrics, LLC's NPI number?

The NPI number for Vip Pediatrics, LLC is 1972261063. It was assigned to this organization in the NPPES registry on December 6, 2021.

Where is Vip Pediatrics, LLC located?

Vip Pediatrics, LLC is located at 370 Mercedes Ave, Pasadena, CA 91107. The listed phone number is (703) 963-2548.

What is Vip Pediatrics, LLC's specialty?

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

Does Vip Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2262839) is associated with this NPI, valid through June 19, 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 Vip Pediatrics, LLC was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.