Active NPI
Pediatric Physicians Network Inc.
- Pediatrics Physician
- Moreno Valley, CA
National Provider Identifier
1164610457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC PHYSICIANS NETWORK INC.
- Practice address
- 26520 Cactus Ave
Moreno Valley, CA 92555-3927 - Phone
- (888) 350-2911
- NPI assigned
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Messenger
- Title
- Director of Operations
- Phone
- (888) 350-2911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Mailing address
3006 S Maryland Pkwy
Suite 505
Las Vegas, NV 89109-2218
Phone (702) 697-0082
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Critical Care Medicine Physician
- Las Vegas, NV
- NPI 1275526261
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1164610457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 S MARYLAND PKWY",
"address_2": "SUITE 505",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092218",
"telephone_number": "702-697-0082",
"fax_number": "702-369-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26520 CACTUS AVE",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925553927",
"telephone_number": "888-350-2911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC PHYSICIANS NETWORK INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "MESSENGER",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "888-350-2911"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.