VICTORVILLE PEDIATRICS – NPI #1497249155
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

VICTORVILLE PEDIATRICS is a provider located in VICTORVILLE, CA. NPPES has assigned the NPI number 1497249155 to VICTORVILLE PEDIATRICS on June 17, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 4 years ago on Sep 29, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VICTORVILLE PEDIATRICS below.

NPI Profile for
VICTORVILLE PEDIATRICS

NPI Number
1497249155
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VICTORVILLE PEDIATRICS
Primary location
15237 ELEVENTH ST STE A
VICTORVILLE, CA 92395-3736
Phone: (909) 823-8000 Fax: (909) 823-8088
Mailing address
16465 SIERRA LAKES PKWY STE 275
FONTANA, CA 92336-1263
Phone: (909) 823-8000 Fax: (909) 823-8088
Organization Subpart
No
Authorized Official
NAMITA MOHIDEEN
OWNER
Phone: (760) 662-7420
Updated
Certification Date
Sep 29, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.