Organization Active NPI

Oviedo Childrens Health Center LLC

  • Pediatrics Physician
  • Winter Garden, FL
National Provider Identifier
1679312938
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OVIEDO CHILDRENS HEALTH CENTER LLC
Practice address
15528 W Colonial Dr Ste B
Winter Garden, FL 34787-9556
Phone
(407) 977-1135
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Sadiq Mandani, MDNPI 1336165760
Title
Owner
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 Primary

Addresses

Primary practice location

15528 W Colonial Dr Ste B
Winter Garden, FL 34787-9556

Mailing address

15528 W Colonial Dr Ste B
Winter Garden, FL 34787-9556
Phone (407) 977-1135

Other names 1

  • Pearl Pediatric Clinic 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
10D2308984Oviedo Childrens Health Center LLC15528 W Colonial Dr Ste B, Winter Garden, FL 34787Certificate of waiverAug 6, 2026

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

15528 W Colonial Dr
Unit B
Winter Garden, FL 34787
Phone (321) 900-0620

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": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1679312938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15528 W COLONIAL DR STE B",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879556",
            "telephone_number": "407-977-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15528 W COLONIAL DR STE B",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879556",
            "telephone_number": "407-977-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIEDO CHILDRENS HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MANDANI",
        "authorized_official_first_name": "SADIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-977-1135",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.