Organization Active NPI

Bendito Pediatrics Inc

  • Primary Care Clinic/Center
  • Canoga Park, CA
National Provider Identifier
1144596966
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A102218 Issued in CA
Legal business name
BENDITO PEDIATRICS INC
Practice address
22030 Sherman Way
Suite #210
Canoga Park, CA 91303-1855
Phone
(818) 857-5991
Fax
(818) 703-0895
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Dr. Chioma A Kalu, M.D.NPI 1336387018
Title
Ceo
Phone
(818) 857-5991

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
Primary Care Clinic/Center 261QP2300X A102218 CA Primary

Addresses

Primary practice location

22030 Sherman Way
Suite #210
Canoga Park, CA 91303-1855

Mailing address

22030 Sherman Way
Suite #210
Canoga Park, CA 91303-1855
Phone (818) 857-5991

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
05D2043973Bendito Pediatrics, Inc.22030 Sherman Way Ste 210, Canoga Park, CA 91303Certificate of waiverJul 12, 2028

National Provider Directory

National Provider Directory

Locations

22030 Sherman Way
Ste 210
Canoga Park, CA 91303
Phone (818) 676-1400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16991/brand/1/csg/1/fhir/r4

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": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1144596966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY",
            "address_2": "SUITE #210",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031855",
            "telephone_number": "818-857-5991",
            "fax_number": "818-703-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY",
            "address_2": "SUITE #210",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031855",
            "telephone_number": "818-857-5991",
            "fax_number": "818-703-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENDITO PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "KALU",
        "authorized_official_first_name": "CHIOMA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-857-5991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A102218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.