Active NPI
South Pasadena Pediatrics, a Professional Corporation
- Pediatrics Physician
- South Pasadena, CA
National Provider Identifier
1750181236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SOUTH PASADENA PEDIATRICS, A PROFESSIONAL CORPORATION
- Practice address
- 1941 Huntington Dr Ste C
South Pasadena, CA 91030-4994 - Phone
- (626) 514-0315
- NPI assigned
- Mar 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Gildersleeve, MD
- Title
- Founder
- Phone
- (626) 514-0315
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1941 Huntington Dr Ste C
South Pasadena, CA 91030-4994
Mailing address
1941 Huntington Dr Ste C
South Pasadena, CA 91030-4994
Phone (626) 514-0315
Other names 1
- South Pasadena Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2324671 | South Pasadena Pediatrics, | Certificate of waiver | May 28, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- South Pasadena, CA
- NPI 1881091551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744243200000",
"number": "1750181236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 HUNTINGTON DR STE C",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304994",
"telephone_number": "626-514-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 HUNTINGTON DR STE C",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304994",
"telephone_number": "626-514-0315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH PASADENA PEDIATRICS, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-14",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A",
"authorized_official_last_name": "GILDERSLEEVE",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "626-514-0315",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "South Pasadena Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Pasadena, CA
- Ashley Sotomayor
- South Pasadena Care Center, LLC
- South Pasadena Chiropractic Wellness Center
- South Pasadena General Dentistry Inc
- South Pasadena Optometric Group, Inc.
- South Pasadena Rehabilitation Center, LLC
- Julissa Sparks, LPCC, NCC
- Daniel Fred Spector, PH.D.
- Vincent Frank Spero, DDS
- Catherine Spicer, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.