NPIMap

Organization Active NPI

PM Pediatrics of California Professional Corporation

  • Urgent Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1578030359
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PM PEDIATRICS OF CALIFORNIA PROFESSIONAL CORPORATION
Practice address
8731 W Pico Blvd
Los Angeles, CA 90035-2205
Phone
(301) 312-5437
Fax
(310) 312-5438
NPI assigned
Oct 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Kristen Hanly
Title
Director of RCM Operations
Phone
(516) 207-7919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

8731 W Pico Blvd
Los Angeles, CA 90035-2205

Mailing address

1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone (516) 869-0650

Other practice location 1

18555 Ventura Blvd Ste B
Tarzana, CA 91356-4192
Phone (818) 614-3088

Other practice location 2

14971 Holt Ave
Tustin, CA 92780-3406
Phone (949) 356-7676

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
05D2103045PM Pediatrics of California, Professional18555 Ventura Blvd Ste B, Tarzana, CA 91356Certificate of waiverJan 16, 2028
05D2167263PM Pediatrics of California,8731 W Pico Blvd, Los Angeles, CA 90035Certificate of waiverJun 4, 2027

National Provider Directory

National Provider Directory

Locations

3847 E Foothill Blvd
Pasadena, CA 91107

3849 E Foothill Blvd
Pasadena, CA 91107
Phone (626) 469-5433

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1578030359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN STE 301",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-869-0650",
            "fax_number": "516-637-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8731 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352205",
            "telephone_number": "301-312-5437",
            "fax_number": "310-312-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18555 Ventura Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913564192",
            "country_code": "US",
            "telephone_number": "818-614-3088",
            "fax_number": "818-614-3807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14971 Holt Ave",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927803406",
            "country_code": "US",
            "telephone_number": "949-356-7676",
            "fax_number": "949-356-7673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PM PEDIATRICS OF CALIFORNIA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "HANLY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIRECTOR OF RCM OPERATIONS",
        "authorized_official_telephone_number": "516-207-7919"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.