Organization Active NPI

Oviedo Childrens Health Center LLC

  • Pediatrics Physician
  • Oviedo, FL
National Provider Identifier
1316183460
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME90618 Issued in FL
Legal business name
OVIEDO CHILDRENS HEALTH CENTER LLC
Practice address
870 Clark St Ste 1000
Oviedo, FL 32765-9270
Phone
(407) 977-1135
Fax
(407) 977-9946
NPI assigned
Dec 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Authorized official

Name
Dr. Sadiq Mandani, M.D.NPI 1336165760
Title
Managing Member
Phone
(407) 977-1135

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME90618 FL Primary

Addresses

Primary practice location

870 Clark St Ste 1000
Oviedo, FL 32765-9270

Mailing address

870 Clark St Ste 1000
Oviedo, FL 32765-9270
Phone (407) 977-1135

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
10D1093948Oviedo Childrens Health Center LLC870 Clark Street Suite 1000, Oviedo, FL 32765Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Oviedo Children's Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1410 W Broadway St
Ste 104
Oviedo, FL 32765
Phone (407) 366-7411

870 Clark St
Ste 1000
Oviedo, FL 32765
Phone (407) 977-1113

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBBGAA

Practitioners & affiliated clinicians

Practitioners 4

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": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714262400000",
    "number": "1316183460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLARK ST STE 1000",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-977-1135",
            "fax_number": "407-977-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLARK ST STE 1000",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-977-1135",
            "fax_number": "407-977-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIEDO CHILDRENS HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "MANDANI",
        "authorized_official_first_name": "SADIQ",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-977-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME90618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.