Organization Active NPI

SP Pediatrics

Doing business as Sunny Trails Pediatrics

  • Pediatrics Physician
  • Mission Viejo, CA
National Provider Identifier
1144104803
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SP PEDIATRICS
Doing business as
Sunny Trails Pediatrics
Practice address
23120 Alicia Pkwy # 230
Mission Viejo, CA 92692-1210
Phone
(949) 391-9424
Fax
(949) 816-1856
NPI assigned
Aug 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Dr. Charlene E Naves Jardin, MDNPI 1043743669
Title
Medical Director/Pediatrician
Phone
(949) 391-9424

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

23120 Alicia Pkwy # 230
Mission Viejo, CA 92692-1210

Mailing address

23120 Alicia Pkwy # 230
Mission Viejo, CA 92692-1210
Phone (949) 391-9424

Other names 1

  • Sunny Trails Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2329672Sunny Trails Pediatrics23120 Alicia Pkwy #230, Mission Viejo, CA 92692Certificate of waiverSep 3, 2027

National Provider Directory

National Provider Directory

Locations

23120 Alicia Pkwy
#230
Mission Viejo, CA 92692
Phone (949) 391-9424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1144104803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23120 ALICIA PKWY # 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921210",
            "telephone_number": "949-391-9424",
            "fax_number": "949-816-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23120 ALICIA PKWY # 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921210",
            "telephone_number": "949-391-9424",
            "fax_number": "949-816-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "NAVES JARDIN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PEDIATRICIAN",
        "authorized_official_telephone_number": "949-391-9424",
        "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": [
        {
            "organization_name": "Sunny Trails Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.