NPIMap

Organization Active NPI

Philip D Szold MD Inc

Doing business as La Mesa Pediatric Medical Group

  • Pediatrics Physician
  • La Mesa, CA
National Provider Identifier
1427268747
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PHILIP D SZOLD MD INC
Doing business as
La Mesa Pediatric Medical Group
La Mesa Pediatrics
Practice address
8881 Fletcher Parkway
Suite 205
La Mesa, CA 91942-3135
Phone
(619) 464-6434
Fax
(619) 464-5109
NPI assigned
May 23, 2007
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Kyrra Moffatt, DONPI 1194922419
Title
Ceo
Phone
(619) 464-6434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

8881 Fletcher Parkway
Suite 205
La Mesa, CA 91942-3135

Mailing address

8881 Fletcher Parkway
Suite 205
La Mesa, CA 91942-3135
Phone (619) 464-6434

Other names 2

  • La Mesa Pediatric Medical Group Doing business as
  • La Mesa Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2165386Philip D Szold MD, Inc8881 Fletcher Pkwy, Suite 205, La Mesa, CA 91942Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Locations

8881 Fletcher Pkwy
Ste 205
La Mesa, CA 91942
Phone (619) 270-4388

Practitioners & affiliated clinicians

Practitioners 10

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1427268747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PARKWAY",
            "address_2": "SUITE 205",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423135",
            "telephone_number": "619-464-6434",
            "fax_number": "619-464-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PARKWAY",
            "address_2": "SUITE 205",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423135",
            "telephone_number": "619-464-6434",
            "fax_number": "619-464-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP D SZOLD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "MOFFATT",
        "authorized_official_first_name": "KYRRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-464-6434",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Mesa Pediatric Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Mesa Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.