Cenla Children'S Clinic & Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENLA CHILDREN'S CLINIC & ASSOCIATES

Practice address

501 Medical Center Dr # 30140 Suite 100
Alexandria, LA 71301-8124

Phone

(318) 487-1358

Fax

(318) 487-9584

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. C V Reddy, M.D.

Title

President

Phone

(318) 487-1358

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Pineville Children's Clinic Doing business as

Locations

Practitioners 3

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

• Manu Bhargava, M.D., F.A.A.P.

  • Pediatrics Physician
  • Pineville, LA
  • NPI 1053314187
  NPD (past)
• Jane Ann Bush, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Alexandria, LA
  • NPI 1598016198
  NPD (past)
• Alaina Christine Van Mol, N. P.

  • Pediatric Nurse Practitioner
  • Alexandria, LA
  • NPI 1548541386
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871670752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MEDICAL CENTER DR # 30140 SUITE 100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018124",
            "telephone_number": "318-487-1358",
            "fax_number": "318-487-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MEDICAL CENTER DR # 30140 SUITE 100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018124",
            "telephone_number": "318-487-1358",
            "fax_number": "318-487-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENLA CHILDREN'S CLINIC & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-487-1358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DANIVAS NPI#",
            "identifier": "1740283852",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1682152",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1196371",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BHARGAVA'S NPI#",
            "identifier": "1053314187",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1435775",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR REDDY'S NPI#",
            "identifier": "1730182866",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pineville Children's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Cayer, LPC
• CCC Pharmacy LLC
• CCC Pharmacy, LLC
• Stanley Celestine Jr.
• Terro Celestine
• Cenla Counseling Associates, Lla
• Cenla Critical Care Associates
• Cenla Dermatology
• Cenla Family Medicine Associates, LLC
• Cenla Healthcare Solutions LLC

• Specialist in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Specialist in Louisiana

• 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.