Individual provider Active NPI

Kristin Brett Pelinka, MD

  • Pediatric Adolescent Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1346369311
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A89386 Issued in CA
Practice address
1190 W. Baker Street Ste 103
Costa Mesa, CA 92626
Phone
(714) 668-2525
Fax
(714) 668-2530
NPI assigned
Mar 28, 2007
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A89386 CA
Pediatrics Physician 208000000X A896786 CA
Pediatric Adolescent Medicine Physician 2080A0000X A89386 CA Primary

Addresses

Primary practice location

1190 W. Baker Street Ste 103
Costa Mesa, CA 92626

Mailing address

PO Box 295
Suisun City, CA 94585-0295
Phone (657) 241-3600

Other practice location 1

2216 Santa Monica Blvd Ste 204
Santa Monica, CA 90404-2317
Phone (310) 264-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristin.pelinkamd.p3@direct.nautilus.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A896786CAMDPediatrics Physician
A89386CAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Pelinka, M.D., Inc. Adolescent Medicine CurrentSince Jan 7, 2024 Accepting new patients
Pacific Ocean Pediatrics Pediatrics Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Yuen Neuropediatrics Inc. PastSince Jun 27, 2021 Accepting new patients

Locations

1190 Baker St
Ste 103
Costa Mesa, CA 92626
Phone (714) 668-2525

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1346369311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945850295",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 W. BAKER STREET STE 103",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "714-668-2525",
            "fax_number": "714-668-2530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2216 Santa Monica Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042317",
            "country_code": "US",
            "telephone_number": "310-264-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELINKA",
        "first_name": "KRISTIN",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A89386",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A896786",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A89386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.pelinkamd.p3@direct.nautilus.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1190 W. Baker Street Ste 103",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.