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CFL CHILDREN'S MEDICAL ASSOCIATES INC. NPI 1497700322


NPI Information

NPI: 1497700322
Provider Name: CFL CHILDREN'S MEDICAL ASSOCIATES, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0949552

Address:
2039 FOREST AVE
SUITE 304
SAN JOSE, CA
ZIP 95128
Phone: (408) 297-5959
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CFL CHILDREN'S MEDICAL ASSOCIATES, INC. is a pediatrics in San Jose, 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. CFL CHILDREN'S MEDICAL ASSOCIATES, INC. NPI is 1497700322. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2039 FOREST AVE
SUITE 304
SAN JOSE, CA
ZIP 95128-817
Phone: (408) 297-5959
Fax: (408) 297-5970

The provider's authorized official is Narciso Thad Padua .
The authorized official title is President and has the following contact phone number (408) 947-2697.

The CLIA number assigned to this NPI record is 05D0949552 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsA45172CALIFORNIAYes

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
1GR0060091MEDICAIDCALIFORNIA
2GR0060090MEDICAIDCALIFORNIA
3ZZZ01893ZOTHERCALIFORNIABLUE SHIELD GROUP NUMBER

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

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