Organization Active NPI

The Pediatric Group, Inc.

  • Pediatrics Physician
  • Beverly Hills, CA
National Provider Identifier
1861703027
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A85596 Issued in CA
Legal business name
THE PEDIATRIC GROUP, INC.
Practice address
250 N. Robertson Blvd.
Suite 404
Beverly Hills, CA 90211-1789
Phone
(310) 273-9533
Fax
(310) 273-8358
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. Rachel Joanne Kramer, M.D.NPI 1750446431
Title
President
Phone
(310) 273-9533

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A85596 CA Primary

Addresses

Primary practice location

250 N. Robertson Blvd.
Suite 404
Beverly Hills, CA 90211-1789

Mailing address

250 N. Robertson Blvd.
Suite 404
Beverly Hills, CA 90211-1789
Phone (310) 273-9533

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
05D0544441Pediatric Group, Inc, the250 N Robertson Blvd Ste 404, Beverly Hills, CA 90211Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

1919 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 423-8828

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1861703027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N. ROBERTSON BLVD.",
            "address_2": "SUITE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111789",
            "telephone_number": "310-273-9533",
            "fax_number": "310-273-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N. ROBERTSON BLVD.",
            "address_2": "SUITE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111789",
            "telephone_number": "310-273-9533",
            "fax_number": "310-273-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-273-9533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A85596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.