Pediatric Minds Medical Center

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

PEDIATRIC MINDS MEDICAL CENTER

Practice address

3524 Torrance Blvd Ste 103
Torrance, CA 90503-4821

Phone

(310) 540-1630

Fax

(310) 543-0400

NPI assigned

Aug 18, 2010

Organization subpart

No

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

Authorized official

Name

Pantea SharifiNPI 1205851599

Title

Office Manager

Phone

(310) 540-1630

Specialties & licenses 1

Addresses

Other names 1

• Early Childhood Treatment Center Doing business as

Tax ID family

Early Childhood Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Minds Medical Center

  • Adolescent and Children Mental Health Clinic/Center
  • Torrance, CA
  • NPI 1205140548
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pantea Sharifi, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Torrance, CA
  • NPI 1205851599
  NPD (past) Authorized official
• Zoe Morash, MS

  • Behavior Analyst
  • Torrance, CA
  • NPI 1083113351
  NPD (past)

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1316252000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 TORRANCE BLVD STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034821",
            "telephone_number": "310-540-1630",
            "fax_number": "310-543-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 TORRANCE BLVD STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034821",
            "telephone_number": "310-540-1630",
            "fax_number": "310-543-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC MINDS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "SHARIFI",
        "authorized_official_first_name": "PANTEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-540-1630"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Childhood Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Pechstedt, FNP
• Tamie Lu Peck, MA OTR/L
• Parvin F Peddi, MD
• Pediatric Minds Developmental Services, Inc.
• Pediatric Minds Medical Center
• Pediatric Therapy Network
• Pediatric Therapy Network
• Esther Banh Pedicini, MD
• Ryan Anthony Pedigo, M.D.
• Deandra Pedroza

• Developmental Disabilities Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Developmental Disabilities Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.