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Los Alamos Pediatric Clinic

Pediatrics Physician in Los Alamos, NM · enumerated 2006 · authorized official Jacqueline Krohn, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245248830

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Registry record

Entity type Organization (Type 2)
Legal business name Los Alamos Pediatric Clinic
Practice address 3917 West Road, Suite 136, Los Alamos, NM, 87544
Phone (505) 662-9620
Fax (505) 662-0024
Enumeration date Aug 3, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 79195 (NM) Primary

Authorized official

Name Jacqueline Krohn
Title President
Phone (509) 662-9620

Other identifiers

Identifier Type State Issuer
10003513 Other NM LOVELACE HEALTH
11783 Medicaid NM -
6693 Other NM HMA NAVAJO NATION
PROVP13573 Other NM MOLINA HEALTHCARE
NM011552 Other NM BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Los Alamos Pediatric Clinic located?
The practice location on file with NPPES is in Los Alamos, NM.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.