Organization Active NPI

Vip Pediatrics, LLC

  • Pediatrics Physician
  • Pasadena, CA
National Provider Identifier
1972261063
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VIP PEDIATRICS, LLC
Practice address
370 Mercedes Ave
Pasadena, CA 91107-2828
Phone
(703) 963-2548
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Dr. Anastasia Williams, MD
Title
Owner
Phone
(703) 963-2548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

370 Mercedes Ave
Pasadena, CA 91107-2828

Mailing address

281 E Colorado Blvd Unit 2499
Pasadena, CA 91102-7075
Phone (703) 963-2548

National Provider Directory

National Provider Directory

Locations

281 E Colorado Blvd
Unit 2499
Pasadena, CA 91102

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1972261063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 E COLORADO BLVD UNIT 2499",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911027075",
            "telephone_number": "703-963-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MERCEDES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072828",
            "telephone_number": "703-963-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-963-2548",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.