Pediatrics R US Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A133149 Issued in CA

Legal business name

PEDIATRICS R US INC

Practice address

31569 Canyon Estates Dr
Ste 225
Lake Elsinore, CA 92532-0470

Phone

(951) 228-9010

Fax

(951) 609-2080

NPI assigned

Apr 26, 2017

Organization subpart

No

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

Authorized official

Name

Houssam Fayad, M.D.

Title

President

Phone

(951) 228-9010

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Cynthia Maria Patino, FNP

  • Family Nurse Practitioner
  • Homeland, CA
  • NPI 1285491126
  NPD (past)

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581811200000",
    "number": "1114452224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31569 CANYON ESTATES DR",
            "address_2": "STE 225",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320470",
            "telephone_number": "951-228-9010",
            "fax_number": "951-609-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31569 CANYON ESTATES DR",
            "address_2": "STE 225",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320470",
            "telephone_number": "951-228-9010",
            "fax_number": "951-609-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS R US INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A",
        "authorized_official_last_name": "FAYAD",
        "authorized_official_first_name": "HOUSSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-228-9010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A133149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Nicole Pavlick
• Michelle Evanthe Pawlak, R.D.
• Christopher Peck, PHARMD
• Karen A. Pecora, LM
• Tunisia L. Peden
• Pedro Luis Gonzalez DMD Inc
• Poppy Eve Peluce-Fune, LCSW
• Arletta Rachelle Penick
• Brenda Perez
• Emily Crystal Perez

• Pediatrics Physician in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.