PLANNED PARENTHOOD PACIFIC SOUTHWEST
NPI 1033144027
Clinic/Center - Community Health in Moreno Valley, CA

Q: What is Planned Parenthood Pacific Southwest's NPI number?

The NPI number for Planned Parenthood Pacific Southwest is 1033144027. It was assigned to this organization in the NPPES registry on July 11, 2006.

Q: What is Planned Parenthood Pacific Southwest's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since July 11, 2006CLIA 05D0569189 · Certificate of Compliance

12900 FREDERICK ST STE C, MORENO VALLEY, CA 92553(951) 222-3101 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Planned Parenthood Pacific Southwest NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLANNED PARENTHOOD PACIFIC SOUTHWEST (NPI 1033144027) is a healthcare organization registered as a community health in Moreno Valley, California and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 9, 2027 and lists Theresa Gonzales, Director, as its authorized official.

NPPES Registry Identity

NPI1033144027

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NamePLANNED PARENTHOOD PACIFIC SOUTHWEST

Location Address12900 FREDERICK ST STE CMoreno Valley, CA 92553-5266

Mailing Address1075 Camino Del Rio SSan Diego, CA 92108-3538 · (619) 881-4500

Phone(951) 222-3101

Organization SubpartNo

Authorized OfficialTheresa GonzalesDirector · (619) 881-4500

Enumeration DateJuly 11, 2006

Last NPPES UpdateJuly 21, 2022

✔ NPI 1033144027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

12900 FREDERICK ST STE C, Moreno Valley, CA 92553

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Other Identifiers 1

MedicaidCMM70963FCA

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 Compliance 05D0569189

Planned Parenthood Of The Pacific Southwest · San Diego, CA

Active · expires Feb 9, 2027

CLIA Number05D0569189

Laboratory TypeCommunity Clinic

Certificate Effective DateFebruary 10, 2025

Certificate Expiration DateFebruary 9, 2027

Laboratory DirectorAntoinette M. Marengo-Barbick

Laboratory Phone(619) 881-4500

Laboratory LocationPlanned Parenthood Of The Pacific Southwest2017 First Ave, Ste 100, San Diego, CA 92101

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MFON-OBONG NSEUWA ETUKUDOH

Nurse Practitioner (Family)