Kids Health First Pediatrics Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDS HEALTH FIRST PEDIATRICS INC.

Practice address

79440 Corporate Center Dr Ste 108
La Quinta, CA 92253-7243

Phone

(750) 564-0902

Fax

(760) 406-6039

NPI assigned

Dec 30, 2019

Organization subpart

No

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

Authorized official

Name

Patricia Cruz Reyes, MDNPI 1962770875

Title

MD

Phone

(760) 564-0902

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Patricia Cruz Reyes, M.D.

  • Pediatrics Physician
  • La Quinta, CA
  • NPI 1962770875
  NPD (past) Authorized official
• Joanne Domingo

  • Family Nurse Practitioner
  • La Quinta, CA
  • NPI 1780301382
  NPD (past)
• Joan Kristine Ranola

  • Pediatric Nurse Practitioner
  • La Quinta, CA
  • NPI 1346001518
  NPD (past)

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1982243507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR STE 108",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537243",
            "telephone_number": "750-564-0902",
            "fax_number": "760-406-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR STE 108",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537243",
            "telephone_number": "750-564-0902",
            "fax_number": "760-406-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS HEALTH FIRST PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "CRUZ REYES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "760-564-0902",
        "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": []
}

• Sharon Kolb Keating
• Cynthia Holloway Kelvin
• Holli Rae Kenley, M.A.
• Veronica M Kennedy, PTA
• Sipan Keshishyan, RPH
• Matthew Ryan Kiminki, DPT
• Karen Lawes Kinder, BCBA
• Susan M Kingsley, LMHC
• Veronica Klein, NP
• Knight Chiropractic, Inc.

• Pediatrics Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.