Organization Active NPI

Pediatric Health Partners,PLLC

  • Clinic/Center
  • Portsmouth, VA
National Provider Identifier
1164574950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0101035962 & 0101046 Issued in VA
Legal business name
PEDIATRIC HEALTH PARTNERS,PLLC
Practice address
3701 South St
Portsmouth, VA 23707-3121
Phone
(757) 966-9873
Fax
(757) 967-9547
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Perla Jamias Soloria, MDNPI 1437235421
Title
Physician
Phone
(757) 966-9873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0101035962 & 0101046 VA Primary

Addresses

Primary practice location

3701 South St
Portsmouth, VA 23707-3121

Mailing address

3701 South St
Portsmouth, VA 23707
Phone (757) 966-9873

Other identifiers 8

IdentifierTypeStateIssuer
2127819OtherVAMAMSI
2461504 & 2696905OtherVACIGNA
75160OtherVAOPTIMA HEALTH
2696905OtherVACIGNA
010057361 & 01005733MedicaidVA
5514567 & 5514570OtherVAFIRST HEALTH
137078 & 137133OtherVAANTHEM
3652536 & 3652579OtherVAAETNA

National Provider Directory

National Provider Directory

Locations

3701 South St
Portsmouth, VA 23707
Phone (757) 966-9873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164574950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 SOUTH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23707",
            "telephone_number": "757-966-9873",
            "fax_number": "757-967-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SOUTH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073121",
            "telephone_number": "757-966-9873",
            "fax_number": "757-967-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH PARTNERS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLORIA",
        "authorized_official_first_name": "PERLA",
        "authorized_official_middle_name": "JAMIAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-966-9873",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0101035962 & 0101046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2127819",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2461504 & 2696905",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "75160",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2696905",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010057361 & 01005733",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5514567 & 5514570",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "137078 & 137133",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3652536 & 3652579",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.