Pediatrix Medical Group of California, a Professional Corp

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORP

Practice address

1115 S Sunset Ave
West Covina, CA 91790-3940

Phone

(626) 813-3716

Fax

(626) 813-3720

NPI assigned

Nov 3, 2021

Last updated

Nov 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nanette Sanders

Title

Assistant Secretary

Phone

(800) 243-3839

Specialties & licenses 3

Addresses

Tax ID family

Pediatrix Medical Group of California a Professional Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Antelope Valley Hospital

  • Women's Hospital
  • Lancaster, CA
  • NPI 1750589297
  NPD tax ID
• Pediatrix Medical Group of California, a Professional Corp

  • Children's Hospital
  • Sunrise, FL
  • NPI 1790749414
  NPD tax ID

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1861157034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 50978",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903940",
            "telephone_number": "626-813-3716",
            "fax_number": "626-813-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "800-243-3839"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee N Payne, FNP
• Ricardo Paz, L.P.T
• PCC Health Services Inc (Emmanuel Health Care & Rehab Center West Covina)
• PCC Health Services Inc (Emmanuel Health Care West Covina)
• Amanda Kathleen Pearson
• Ignacio Pedraza
• Evangeline Baquiran Pelaez, ANP-BC
• Angela Devi Pelayo-Prescott, MA
• Tanya Peltz, PA
• Ayleen Pena

• Neonatal-Perinatal Medicine Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Neonatal-Perinatal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.