Active NPI
All4Kidz Pediatrics, LLC
Doing business as ALL4KIDZ Pediatrics
- Pediatrics Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ALL4KIDZ PEDIATRICS, LLC
- Doing business as
- ALL4KIDZ Pediatrics
- Practice address
- 1907 Tyrone Blvd N
St Petersburg, FL 33710-4841 - Phone
- (727) 317-2117
- Fax
- (727) 317-2104
- NPI assigned
- Jul 29, 2020
- Last updated
- Jul 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Salil G Jacob, MD
- Title
- Owner, Provider
- Phone
- (727) 317-2117
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
1907 Tyrone Blvd N
St Petersburg, FL 33710-4841
Mailing address
1907 Tyrone Blvd N
St Petersburg, FL 33710-4841
Phone (727) 317-2117
Other names 1
- ALL4KIDZ Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2187753 | All4Kidz Pediatrics LLC | Certificate of waiver | Jul 6, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1245256163
-
- Pediatrics Physician
- Chandler, AZ
- NPI 1942648357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595980800000",
"number": "1568071165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 TYRONE BLVD N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337104841",
"telephone_number": "727-317-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 TYRONE BLVD N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337104841",
"telephone_number": "727-317-2117",
"fax_number": "727-317-2104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL4KIDZ PEDIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A",
"authorized_official_last_name": "JACOB",
"authorized_official_first_name": "SALIL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER, PROVIDER",
"authorized_official_telephone_number": "727-317-2117",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ALL4KIDZ Pediatrics",
"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 Jul 29, 2020; 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.