Organization Active NPI

Ohana Kids Care

  • Pediatrics Physician
  • Menifee, CA
National Provider Identifier
1093647760
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OHANA KIDS CARE
Practice address
26960 Cherry Hills Blvd Ste D
Menifee, CA 92586-2512
Phone
(951) 381-0221
NPI assigned
May 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Dr. Potenciano Reynoso Paredes, MDNPI 1104856335
Title
Ceo
Phone
(951) 381-0221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

26960 Cherry Hills Blvd Ste D
Menifee, CA 92586-2512

Mailing address

26960 Cherry Hills Blvd Ste D
Menifee, CA 92586-2512
Phone (951) 381-0221

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1093647760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26960 CHERRY HILLS BLVD STE D",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862512",
            "telephone_number": "951-381-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26960 CHERRY HILLS BLVD STE D",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862512",
            "telephone_number": "951-381-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA KIDS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "POTENCIANO",
        "authorized_official_middle_name": "REYNOSO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-381-0221",
        "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 Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.