California Pediatrics, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

C54782 Issued in CA

Legal business name

CALIFORNIA PEDIATRICS, INC.

Practice address

1595 Grand Ave
Suite 102
San Marcos, CA 92078-2450

Phone

(760) 295-6565

Fax

(760) 514-4330

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Vanessa Leonor Neves, MD

Title

Owner

Phone

(760) 295-6565

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• California Pediatrics Doing business as

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1750711511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 GRAND AVE",
            "address_2": "SUITE 102",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782450",
            "telephone_number": "760-295-6565",
            "fax_number": "760-514-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 GRAND AVE",
            "address_2": "SUITE 102",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782450",
            "telephone_number": "760-295-6565",
            "fax_number": "760-514-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "NEVES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "LEONOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-295-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "C54782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "52208",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C54782F-1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.