Pediatrics & Complex Primary Care at the Charlie Mitchell Children’s Center

The Charlie Mitchell Children’s Center is a Rural Health Center offering family-focused primary care to children up to age 21 with acute and chronic medical conditions. The clinic is located on the Valley Children’s main campus in Madera. Doctors at the clinic also treat patients’ siblings so that brothers and sisters can all receive medical care from the same practice. We bring an interdisciplinary approach to patient care; in addition to board-certified pediatricians, the practice is staffed with nurses, phlebotomists, a pharmacist, a case manager and a social worker. 

Clinical psychologists and Child Life specialists are available by referral. The interdisciplinary plan includes management of care, ordering of tests, immunizations, administration of medication, scheduling and follow-up of appointments, specimen collection and processing, and coordination and/or referral of appointments for other subspecialists and allied health professionals. Language needs are addressed by bilingual staff and hospital interpreters. 

Our mission is to provide a medical home for children with complex medical problems where continuity of care is provided and coordinated by a dedicated team of medical, nursing, pharmaceutical and ancillary staff members. Medical care is provided in a manner that is compassionate, accessible, effective, efficient and culturally conscious.

Conditions Treated

Multiple system involvement (more than one problem)

The Charlie Mitchell Children's Center provides primary care, working closely with sub-specialists to provide ongoing care for kids with multiple problems including:

  • Brain injury
  • Cancer
  • Cerebral Palsy
  • Cleft Palate
  • Chromosomal Anomalies 
  • Chronic Lung Disease
  • Down Syndrome
  • Developmental Delay
  • Encephalopathy
  • Failure to Thrive
  • Heart Disease
  • Hydrocephalus
  • Liver Disease
  • Prematurity
  • Renal Failure
  • Seizure Disorders
  • Short-Gut Syndrome
  • Spina Bifida

Services Offered

  • Durable Medical Equipment Needs
  • Educational Needs
  • Age appropriate safety and anticipatory guidance issues including nutrition and physical activities
  • Disease management and treatment plan
  • Education about procedures 
  • Central Line
  • Gastrostomy Tube
  • Nebulizer
  • Suctioning
  • Education about reactions to medications, dosage administration, interactions with other medications and/or food, increase/decrease physical activity resulting from medication
  • Immunization Needs
  • IV/Parenteral rehydration
  • Nebulizer Treatment

Diagnostic Services

  • Health screenings
  • Hearing screening
  • Point of care testing
  • Pregnancy testing 
  • Routine laboratory testing
  • TB (Tuberculosis)
  • Vision screening


  • Chronic Lung Disease - Asthma
  • Down Syndrome
  • Prematurity
  • Seizures
  • Gastrointestinal concerns
  • Developmental delay