Organization Active NPI

Kids 1St Pediatrics, Inc.

  • Pediatrics Physician
  • Apple Valley, CA
National Provider Identifier
1184101511
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A85204 Issued in CA
Legal business name
KIDS 1ST PEDIATRICS, INC.
Practice address
18002 Wika Rd
Apple Valley, CA 92307-2125
Phone
(760) 946-2243
Fax
(760) 946-0348
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Dr. Reza Ahmadinia, MD
Title
Owner
Phone
(949) 382-4939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A85204 CA Primary

Addresses

Primary practice location

18002 Wika Rd
Apple Valley, CA 92307-2125

Mailing address

18112 Outer Hwy 18 Ste 101
Apple Valley, CA 92307-2211
Phone (760) 946-2243

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
05D2161353Kids 1St Pediatrics Inc18002 Wika Rd, Apple Valley, CA 92307Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory

Locations

18002 Wika Rd
Apple Valley, CA 92307
Phone (760) 946-2243

14114 Business Center Dr
Moreno Valley, CA 92553
Phone (951) 697-5777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19886/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/72723

Practitioners & affiliated clinicians

Practitioners 2

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": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1184101511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18112 OUTER HWY 18 STE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072211",
            "telephone_number": "760-946-2243",
            "fax_number": "760-946-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18002 WIKA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072125",
            "telephone_number": "760-946-2243",
            "fax_number": "760-946-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS 1ST PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "AHMADINIA",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-382-4939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A85204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.