JEFFERSON PEDIATRIC CLINIC
NPI 1972642197
Pediatrics in Marrero, LA

Q: What is Jefferson Pediatric Clinic's NPI number?

The NPI number for Jefferson Pediatric Clinic is 1972642197. It was assigned to this organization in the NPPES registry on February 5, 2007.

Q: What is Jefferson Pediatric Clinic's specialty?

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

Active since February 05, 2007CLIA 19D0457919 · Certificate of Compliance

1111 MEDICAL CENTER BLVD, SUITE N-813, MARRERO, LA 70072(504) 349-6813(504) 349-6832 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jefferson Pediatric Clinic NPPES

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

JEFFERSON PEDIATRIC CLINIC (NPI 1972642197) is a healthcare organization registered as a pediatrics in Marrero, Louisiana and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through October 25, 2026 and lists Scotty James Oubre, Office Assistant, as its authorized official.

NPPES Registry Identity

NPI1972642197

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameJEFFERSON PEDIATRIC CLINIC

Location Address1111 MEDICAL CENTER BLVD, SUITE N-813Marrero, LA 70072-3151

Mailing Address1111 Medical Center Blvd, Suite N-813Marrero, LA 70072-3151 · (504) 349-6813 · Fax (504) 349-6832

Phone(504) 349-6813

Fax(504) 349-6832

Organization SubpartNo

Authorized OfficialScotty James OubreOffice Assistant · (504) 349-6813

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJune 17, 2008

✔ NPI 1972642197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in LA · 06128R

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.

1111 MEDICAL CENTER BLVD, Marrero, LA 70072

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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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 Compliance 19D0457919

Jefferson Pediatric Clinic · Marrero, LA

Active · expires Oct 25, 2026

CLIA Number19D0457919

Laboratory TypePhysician Office

Certificate Effective DateOctober 26, 2024

Certificate Expiration DateOctober 25, 2026

Laboratory DirectorCarlos A. Trujillo

Laboratory Phone(504) 349-6813

Laboratory LocationJefferson Pediatric Clinic1111 Medical Center Blvd Suite N813, Marrero, LA 70072

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

LABADIE AND LABADIE A PROFESSIONAL LLC

Specialist

1111 MEDICAL CENTER BLVD, SUITE 250 SOUTH
MARRERO, LA 70072

Jefferson Parish (504) 349-6207

THELMA SONZA N.P.

Nurse Practitioner (Family)

1111 MEDICAL CENTER BLVD, SUITE 613N
MARRERO, LA 70072

Jefferson Parish (504) 394-6800

DR. JOSEPH GUARNIERI M.D.

Ophthalmology

1111 MEDICAL CENTER BLVD, SUITE N-213
MARRERO, LA 70072

Jefferson Parish (504) 349-6213

CHARLES JOSEPH BALLAY II M.D.

Otolaryngology

1111 MEDICAL CENTER BLVD, SUITE 707N
MARRERO, LA 70072

Jefferson Parish (504) 934-8550

DR. PRAMELA R GANJI MD

Family Medicine

1111 MEDICAL CENTER BLVD, STE 304 NORTH
MARRERO, LA 70072

Jefferson Parish (504) 349-6325

WEST JEFFERSON PHYSICIAN SERVICES

Internal Medicine

1111 MEDICAL CENTER BLVD, SUITE S850
MARRERO, LA 70072

Jefferson Parish (504) 349-6450

MS. MEGHAN CATHERINE MESSONNIER PA-C

Physician Assistant (Medical)

1111 MEDICAL CENTER BLVD, SUITE S-450
MARRERO, LA 70072

Jefferson Parish (504) 349-6423

KAELYNN LANDECHE FRANCISCO APRN

Nurse Practitioner

1111 MEDICAL CENTER BLVD
MARRERO, LA 70072

Jefferson Parish (504) 349-6945

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 Jefferson Pediatric Clinic's NPI number?

The NPI number for Jefferson Pediatric Clinic is 1972642197. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Jefferson Pediatric Clinic located?

Jefferson Pediatric Clinic is located at 1111 Medical Center Blvd Suite N-813, Marrero, LA 70072. The listed phone number is (504) 349-6813.

What is Jefferson Pediatric Clinic's specialty?

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

Does Jefferson Pediatric Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 19D0457919) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson Pediatric Clinic accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Jefferson Pediatric Clinic 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 Jefferson Pediatric Clinic was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.