NPIMap

Organization Active NPI

HBP Pediatrics Medical Group, Inc,

  • Pediatrics Physician
  • Pasadena, CA
National Provider Identifier
1417967845
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HBP PEDIATRICS MEDICAL GROUP, INC,
Practice address
100 W California Blvd
Pediatrics Department
Pasadena, CA 91105-3010
Phone
(626) 397-3082
NPI assigned
Aug 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ernie Maldonado, MDNPI 1962412304
Title
President
Phone
(626) 397-3082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

100 W California Blvd
Pediatrics Department
Pasadena, CA 91105-3010

Mailing address

223 N 1St Ave
Suite 201
Arcadia, CA 91006-7089
Phone (626) 821-1411

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ09025ZOtherCABLUE SHIELD
GR0090820MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417967845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N 1ST AVE",
            "address_2": "SUITE 201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067089",
            "telephone_number": "626-821-1411",
            "fax_number": "626-821-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD",
            "address_2": "PEDIATRICS DEPARTMENT",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053010",
            "telephone_number": "626-397-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HBP PEDIATRICS MEDICAL GROUP, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-397-3082",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ09025Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.