Organization Active NPI

Mighty Kidz Pediatrics

  • Pediatrics Physician
  • Cerritos, CA
National Provider Identifier
1740566694
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A108171 Issued in CA
Legal business name
MIGHTY KIDZ PEDIATRICS
Practice address
18821 Pioneer Blvd Ste D
Cerritos, CA 90701-5667
Phone
(562) 403-0400
Fax
(562) 403-0404
NPI assigned
Oct 24, 2011
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Dr. Cecilia Santiago Carigma, M.D.NPI 1174719058
Title
Physician
Phone
(562) 403-0400

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 A108171 CA Primary

Addresses

Primary practice location

18821 Pioneer Blvd Ste D
Cerritos, CA 90701-5667

Mailing address

18821 Pioneer Blvd Ste D
Cerritos, CA 90701-5667
Phone (562) 403-0400

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
05D2026490Mighty Kidz Pediatrics18821 Pioneer Blvd Ste D, Cerritos, CA 90701Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

18821 Pioneer Blvd
Ste D
Cerritos, CA 90701
Phone (562) 403-0400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

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": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1740566694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18821 PIONEER BLVD STE D",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907015667",
            "telephone_number": "562-403-0400",
            "fax_number": "562-403-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18821 PIONEER BLVD STE D",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907015667",
            "telephone_number": "562-403-0400",
            "fax_number": "562-403-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY KIDZ PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "CARIGMA",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "562-403-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A108171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.