NPIMap

Organization Active NPI

Evening Pediatrics Inc

  • Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1255044236
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EVENING PEDIATRICS INC
Practice address
2401 4TH St N
St Petersburg, FL 33704-2803
Phone
(727) 600-6483
Fax
(727) 739-8600
NPI assigned
Jan 4, 2023
Organization subpart
Yes
Parent organization
EVENING PEDIATRICS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Michael Cibran
Title
President
Phone
(727) 688-8515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

2401 4TH St N
St Petersburg, FL 33704-2803

Mailing address

2115 Central Ave
St Petersburg, FL 33713-8815
Phone (727) 526-9135

Other names 1

  • Your Kids Urgent Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2275821Your Kids Urgent Care2401 4TH St North, Saint Petersburg, FL 33704Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Evening Pediatrics Inc6 organizations share this tax ID, including this one
Part of
Evening Pediatrics Inc

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1255044236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138815",
            "telephone_number": "727-526-9135",
            "fax_number": "727-526-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042803",
            "telephone_number": "727-600-6483",
            "fax_number": "727-739-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENING PEDIATRICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVENING PEDIATRICS INC",
        "enumeration_date": "2023-01-04",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "CIBRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-688-8515"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Kids Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Kids Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.