Srey Pediatrics Medical Group PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SREY PEDIATRICS MEDICAL GROUP PC

Practice address

31573 Rancho Pueblo Rd Ste 102
Temecula, CA 92592-4854

Phone

(951) 528-2185

Fax

(951) 527-6151

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Rothtida Srey, DONPI 1093026411

Title

Ceo

Phone

(951) 528-2185

Specialties & licenses 1

Addresses

Other names 1

• Happy Pediatrics Former legal business name

Electronic endpoints 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Rothtida Srey, D.O.

  • Pediatrics Physician
  • Temecula, CA
  • NPI 1093026411
  NPD Authorized official

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1609445287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 JASPER WAY",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781154",
            "telephone_number": "515-707-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31573 RANCHO PUEBLO RD STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924854",
            "telephone_number": "951-528-2185",
            "fax_number": "951-527-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SREY PEDIATRICS MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-09-23",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "SREY",
        "authorized_official_first_name": "ROTHTIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-528-2185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.happypediatrics.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "31573 Rancho Pueblo Rd Ste 102",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925924854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Happy Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Happy Pediatrics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Russell Lloyd Sprague, MFT
• Eric David Spratt, D.C.
• Kimberley Ann Springer, NCSP
• Kristen Danielle Springsteen, LMFT
• Tahjae Jewel Donyette Spruill
• Rothtida Srey, D.O.
• St Dominic Hospice and Palliative Care Inc
• Crystal Elizabeth St John, STUDENT
• Teresa Stafford
• Tyler Stafford

• Pediatrics Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.