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PATTERSON AND TEDFORD PEDIATRICS A CALIFORNIA MEDICAL CORP NPI 1568474096


NPI Information

NPI: 1568474096
Provider Name: PATTERSON AND TEDFORD PEDIATRICS, A CALIFORNIA MEDICAL CORP
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0982930

Address:
7700 MORRO RD
ATASCADERO, CA
ZIP 93422
Phone: (805) 466-6622
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PATTERSON AND TEDFORD PEDIATRICS, A CALIFORNIA MEDICAL CORP is a pediatrics in Atascadero, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PATTERSON AND TEDFORD PEDIATRICS, A CALIFORNIA MEDICAL CORP NPI is 1568474096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7700 MORRO RD
ATASCADERO, CA
ZIP 93422-435
Phone: (805) 466-6622
Fax: (805) 461-0361

The provider's authorized official is Cassie Foster .
The authorized official title is Practice Administrator and has the following contact phone number (805) 466-6622.

The CLIA number assigned to this NPI record is 05D0982930 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/13/2006 and was last updated on 9/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsC2202292CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0089110MEDICAIDCALIFORNIA
2ZZZ01321ZOTHERCALIFORNIABLUE SHIELD OF CA GRP PIN
34315040OTHERAETNA PIN
4357801011OTHERCIGNA PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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