NPIMap

Organization Active NPI

Lamorinda Pediatric Medical Group Inc

  • Pediatrics Physician
  • Lafayette, CA
National Provider Identifier
1922013804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LAMORINDA PEDIATRIC MEDICAL GROUP INC
Practice address
930 Dewing Ave
Lafayette, CA 94549-4223
Phone
(925) 284-1800
Fax
(925) 284-1235
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael H Malone, M.D.
Title
President
Phone
(925) 284-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

930 Dewing Ave
Lafayette, CA 94549-4223

Mailing address

930 Dewing Ave
Lafayette, CA 94549-4223
Phone (925) 284-1800

National Provider Directory

National Provider Directory

Locations

1650 Walnut St
Berkeley, CA 94709
Phone (510) 848-2566

Practitioners & affiliated clinicians

Practitioners 6

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": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922013804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 DEWING AVE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494223",
            "telephone_number": "925-284-1800",
            "fax_number": "925-284-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 DEWING AVE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494223",
            "telephone_number": "925-284-1800",
            "fax_number": "925-284-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMORINDA PEDIATRIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-284-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.