NPIMap

Organization Active NPI

Csi-Pediatric Services, LLC

  • Health Service Clinic/Center
  • Florida City, FL
National Provider Identifier
1114301587
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CSI-PEDIATRIC SERVICES, LLC
Practice address
530 SW 1St St
Suite 301-304
Florida City, FL 33034-4806
Phone
(305) 967-0854
NPI assigned
Jul 16, 2015
Organization subpart
Yes
Parent organization
PEDIATRIC HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna Lodato, RN
Title
Ceo
Phone
(786) 522-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

530 SW 1St St
Suite 301-304
Florida City, FL 33034-4806

Mailing address

15050 NW 79TH CT Ste 201
Miami Lakes, FL 33016-5810
Phone (786) 522-9600

Other identifiers 1

IdentifierTypeStateIssuer
024128600MedicaidFL

Other names 2

  • CSI Special Care Doing business as
  • Spark Pediatrics Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donnal@sparkpediatrics.com

National Provider Directory

National Provider Directory
Tax ID family
Csi Special Care15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

530 SW 1st St
Ste 301304
Florida City, FL 33034
Phone (305) 967-0854

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1114301587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 NW 79TH CT STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165810",
            "telephone_number": "786-522-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SW 1ST ST",
            "address_2": "SUITE 301-304",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330344806",
            "telephone_number": "305-967-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSI-PEDIATRIC SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC HOLDINGS, LLC",
        "enumeration_date": "2015-07-16",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "LODATO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-522-9600",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024128600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donnal@sparkpediatrics.com",
            "affiliation": "N",
            "address_1": "530 SW 1st St",
            "address_2": "Suite 301-304",
            "city": "Florida City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330344806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CSI Special Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CSI Special Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spark Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florida City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.