Provider Type Icon

ST. JUNIPERO CLINIC INC. NPI 1912412644


NPI Information

NPI: 1912412644
Provider Name: ST. JUNIPERO CLINIC, INC.

Doing Business As: ST. JUNIPERO CHILDREN'S CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D2144109

Address:
333 ABBOTT ST STE C
SALINAS, CA
ZIP 93901
Phone: (831) 288-8811
Get Directions

ST. JUNIPERO CLINIC, INC. is a pediatrics in Salinas, 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. ST. JUNIPERO CLINIC, INC. NPI is 1912412644. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Junipero Children's Clinic.

The provider's business location address is:

333 ABBOTT ST STE C
SALINAS, CA
ZIP 93901-486
Phone: (831) 288-8811
Fax: (831) 288-8866

The provider's authorized official is Steve Darmawan .
The authorized official title is President and has the following contact phone number (831) 917-7737.

The CLIA number assigned to this NPI record is 05D2144109 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 9/23/2022.


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
1208000000XPediatricsA85492CALIFORNIAYes

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
1176005001MEDICAIDCALIFORNIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.