HEALTHY KIDS PEDIATRICS – NPI #1225833742
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Health Care Provider Taxonomy Code for Pediatrics

HEALTHY KIDS PEDIATRICS is a provider located in RANCHO CUCAMONGA, CA. NPPES has assigned the NPI number 1225833742 to HEALTHY KIDS PEDIATRICS on February 18, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

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 HEALTHY KIDS PEDIATRICS below.

NPI Profile for
HEALTHY KIDS PEDIATRICS

NPI Number
1225833742
Enumeration Date

(more than a year 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
HEALTHY KIDS PEDIATRICS
Primary location
9481 PITTSBURGH AVE STE 200
RANCHO CUCAMONGA, CA 91730-9021
Phone: (909) 655-0300 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PRASHANTH PORAYETTE
CHIEF EXECUTIVE OFFICER
Phone: (317) 709-4701
Updated
Certification Date
Feb 18, 2025

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
2080P0206X
- Pediatrics / Pediatric Gastroenterology (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.