HISPANIC AMERICAN PEDIATRIC ASSOCIATES NPI 1386719524

NPI Information

NPI: 1386719524
Provider Name: HISPANIC AMERICAN PEDIATRIC ASSOCIATES
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 49D1037007
Address: 5130 DUKE STREET
SUITE 7
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 751-2021

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NPI Details

HISPANIC AMERICAN PEDIATRIC ASSOCIATES is a primary care clinic center in Alexandria, VA. HISPANIC AMERICAN PEDIATRIC ASSOCIATES NPI is 1386719524. The provider is registered as an organization entity type.

The provider's business location address is:

5130 DUKE STREET
SUITE 7
ALEXANDRIA, VA
ZIP 22304-207
Phone: (703) 751-2021
Fax: (703) 751-2071

The provider's authorized official is Jemal Omidvar .
The authorized official title is President and has the following contact phone number (703) 751-2021.

The CLIA number assigned to this NPI record is 49D1037007 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 1/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	40990-01	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	002632800	MEDICAID	MARYLAND
2	010125561	MEDICAID	VIRGINIA
3	010117534	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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