VALLE VERDE PEDIATRICS MEDICAL GROUP NPI 1326131079

NPI Information

  • NPI: 1326131079
  • Provider Name: VALLE VERDE PEDIATRICS MEDICAL GROUP
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 05D0568350
  • Address: 15525 POMERADO ROAD
    #B1
    POWAY, CA
    ZIP 92064
  • Phone: (858) 487-8333

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NPI Details

VALLE VERDE PEDIATRICS MEDICAL GROUP is a pediatrics in Poway, 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. VALLE VERDE PEDIATRICS MEDICAL GROUP NPI is 1326131079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15525 POMERADO ROAD
#B1
POWAY, CA
ZIP 92064-465
Phone: (858) 487-8333
Fax: (858) 487-0856

The provider's authorized official is Nathan Rendler .
The authorized official title is President and has the following contact phone number (858) 487-8333.

The CLIA number assigned to this NPI record is 05D0568350 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/2/2006 and was last updated on 1/28/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist00G642310CALIFORNIANo
2208000000XPediatricsFNP18257CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11326131079MEDICAIDCALIFORNIA

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: 3/30/2025

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