Organization Active NPI

Pediatrix Medical Group of California, a Professional Corporation

  • Neonatal-Perinatal Medicine Physician
  • Sunrise, FL
National Provider Identifier
1316041833
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORPORATION
Practice address
1301 Concord Ter
Sunrise, FL 33323-2843
Phone
(800) 463-6628
Fax
(714) 740-0326
NPI assigned
Sep 13, 2006
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Michael R Santana
Title
Assistant Secretary
Phone
(800) 243-3839

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X
Neonatal-Perinatal Medicine Physician 2080N0001X Primary
Pediatric Critical Care Medicine Physician 2080P0203X
Hospitalist Physician 208M00000X

Addresses

Primary practice location

1301 Concord Ter
Sunrise, FL 33323-2843

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843
Phone (800) 463-6628

National Provider Directory

National Provider Directory

Locations

1783 El Camino Real
Burlingame, CA 94010
Phone (650) 696-5400

900 E Hamilton Ave
Ste 220
Campbell, CA 95008
Phone (408) 371-7111

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

310 Canal St
King City, CA 93930

1602 W Ave J
Ste C
Lancaster, CA 93534
Phone (661) 726-6185

1602 W Ave J Ste C
Lancaster, CA 93534

44155 15th St W
Lancaster, CA 93534
Phone (661) 949-5000

2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911

770 The City Dr S
Ste 40000
Orange, CA 92868

5 Medical Plaza Dr
Ste 160
Roseville, CA 95661
Phone (916) 733-7111

2505 Samaritan Dr
#124
San Jose, CA 95124

2505 Samaritan Dr
Ste 304
San Jose, CA 95124
Phone (408) 358-3585

2505 Samaritan Dr
Ste 309
San Jose, CA 95124
Phone (408) 356-8486

2520 Samaritan Dr
Ste 104
San Jose, CA 95124

1135 S Sunset Ave
Ste 406
West Covina, CA 91790
Phone (626) 813-3716

7300 Medical Center Dr
Fl 3
West Hills, CA 91307

Practitioners & affiliated clinicians

Practitioners 167

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.

View all 167

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1316041833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-463-6628",
            "fax_number": "714-740-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-463-6628",
            "fax_number": "714-740-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "800-243-3839"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.