Pediatric Bioscience, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PEDIATRIC BIOSCIENCE, INC.

Practice address

1901 Royal Oaks Dr
Suite 200
Sacramento, CA 95815-3868

Phone

(916) 646-6336

NPI assigned

Feb 23, 2009

Last updated

Feb 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Robert Anderson, PH.D.

Title

Chief Executive Officer

Phone

(916) 646-6336

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1306086822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ROYAL OAKS DR",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153868",
            "telephone_number": "916-646-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ROYAL OAKS DR",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153868",
            "telephone_number": "916-646-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC BIOSCIENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-646-6336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Sean Peck, LPCC TRAINEE
• Garrett Peck
• Michael Peck, RN
• Himaja Peddi, M.D.
• Nigel Paul Pedersen, M.D.
• Pediatric Cardiologists of Northern California Inc
• Pediatric Medical Associates of Sacramento Inc (Pediatric Associates)
• Pediatric Orthotic and Prosthetic Services-West, LLC
• Pediatric Urgent Care of Sacramento, Inc
• Pediatric Urology Medical Group, Inc.

• Clinical Medical Laboratory in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.