Pediatric Physicians Group Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A8445 Issued in CA

Legal business name

PEDIATRIC PHYSICIANS GROUP INC

Practice address

79-180 Corporate Circle Dr.
Suite 103
La Quinta, CA 92253-7235

Phone

(760) 777-7300

Fax

(760) 777-7707

NPI assigned

Jun 25, 2015

Organization subpart

No

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

Authorized official

Name

Daniel Fraschetti, D.O.

Title

President

Phone

(760) 369-9220

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Physicians Group Inc2 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 Physicians Group, Inc.

  • Pediatrics Physician
  • La Quinta, CA
  • NPI 1487032587
  NPD tax ID

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1447632401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-180 CORPORATE CIRCLE DR.",
            "address_2": "SUITE 103",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537235",
            "telephone_number": "760-777-7300",
            "fax_number": "760-777-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-180 CORPORATE CIRCLE DR.",
            "address_2": "SUITE 103",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537235",
            "telephone_number": "760-777-7300",
            "fax_number": "760-777-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PHYSICIANS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "FRASCHETTI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-369-9220",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A8445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Lynn Parkins, D.D.S.
• Puri Lorena Arellano Pascual, M.D.
• Taylor Christine Pate
• Junelle Pearson, RN
• Gregory Alan Pecchia, D.O.
• Pediatric Physicians Group, Inc.
• Jeanne M Perafan, NP
• Isabel Peralta
• Perry Physical Therapy, Inc.
• Elizabeth A Perry, PT

• Pediatrics Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.