NEW VALLEY PEDIATRIC CLINIC
NPI 1003301573
Clinic/Center - Primary Care in La Puente, CA
About New Valley Pediatric Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW VALLEY PEDIATRIC CLINIC (NPI 1003301573) is a healthcare organization registered as a primary care in La Puente, California and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Shams Mousavilar, Pediatrician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2153809
New Valley Pediatric Clinic · La Puente, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shams A. Mousavilar,md,inc.'s NPI number?
The NPI number for Shams A. Mousavilar,md,inc. is 1003301573. It was assigned to this organization in the NPPES registry on June 27, 2018. The provider is doing business as New Valley Pediatric Clinic.
Where is Shams A. Mousavilar,md,inc. located?
Shams A. Mousavilar,md,inc. is located at 1840 N Hacienda Blvd Ste 4, La Puente, CA 91744. The listed phone number is (626) 727-2150.
What is Shams A. Mousavilar,md,inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Shams A. Mousavilar,md,inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2153809) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Shams A. Mousavilar,md,inc. was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# New Valley Pediatric Clinic · NPI 1003301573
Primary Care organization in La Puente, California. Organization record, active in the CMS NPPES registry since June 27, 2018.
## Identity
- **NPI:** 1003301573 (Entity type: Organization)
- **Enumerated:** June 27, 2018
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Shams A. Mousavilar,md,inc.
- **Organization subpart:** No
- **Authorized official:** Shams Mousavilar, PEDIATRICIAN
## Practice location
- **Address:** 1840 N HACIENDA BLVD STE 4, La Puente, CA 91744-1143
- **Phone:** (626) 727-2150
## Record status
- **NPPES last updated:** June 27, 2018
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1003301573) · Data from the CMS NPPES public registry.