LOS ALAMOS PEDIATRIC CLINIC – NPI #1245248830
Pediatrics

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.

LOS ALAMOS PEDIATRIC CLINIC is a provider located in LOS ALAMOS, NM. NPPES has assigned the NPI number 1245248830 to LOS ALAMOS PEDIATRIC CLINIC on August 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOS ALAMOS PEDIATRIC CLINIC below.

NPI Profile for
LOS ALAMOS PEDIATRIC CLINIC

NPI Number
1245248830
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LOS ALAMOS PEDIATRIC CLINIC
Primary location
3917 WEST ROAD
SUITE 136
LOS ALAMOS, NM 87544
Phone: (505) 662-9620 Fax: (505) 662-0024
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACQUELINE KROHN
PRESIDENT
Phone: (509) 662-9620
Updated
Identifiers

Identifiers for LOS ALAMOS PEDIATRIC CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBSNMNM011552
OTHERHMA NAVAJO NATIONNM6693
OTHERLOVELACE HEALTHNM10003513
OTHERMOLINA HEALTHCARENMPROVP13573
MEDICAIDNM11783
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
NM 79195

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.