PEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC – NPI #1356541429
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Health Care Provider Taxonomy Code for Pediatrics

PEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC is a provider located in SAN BERNARDINO, CA. NPPES has assigned the NPI number 1356541429 to PEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC on July 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was last updated on Feb 10, 2026. 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 PEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC below.

NPI Profile for
PEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC

NPI Number
1356541429
Enumeration Date

(about 19 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
PEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC
Primary location
350 E VANDERBILT WAY STE A
SAN BERNARDINO, CA 92408-3593
Phone: (909) 886-5200 Fax: (949) 336-3827
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MOHAMMAD KANAKRIYEH
PRESIDENT
Phone: (909) 886-5200
Updated
Certification Date
Feb 10, 2026

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.

Identifiers

Identifiers for PEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA1356541429
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
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)		 CA 00A425260

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.