PEDIATRIC GROUP OF MONTEREY
NPI 1053417212
Pediatrics in Monterey, CA

Active since September 15, 2006
1900 GARDEN RD STE 110, MONTEREY, CA 93940(831) 372-5841(831) 372-4820 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Group Of Monterey NPPES

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

PEDIATRIC GROUP OF MONTEREY (NPI 1053417212) is a healthcare organization registered as a pediatrics in Monterey, California and active in the NPI registry since September 2006. The organization lists Kathie L Stark, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053417212
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePENN, KANAYA, DWELLE, MD'S
Location Address1900 GARDEN RD STE 110Monterey, CA 93940-5334
Mailing Address1900 Garden Rd, Suite 110Monterey, CA 93940-5373 · (831) 372-5841 · Fax (831) 372-4820
Fax(831) 372-4820
Organization SubpartYes
Authorized OfficialKathie L StarkExecutive Director · (831) 372-5841
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJune 25, 2010
NPI 1053417212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

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.

1900 GARDEN RD STE 110, Monterey, CA 93940

Other Names 1

Doing Business AsPediatric Group Of Monterey

Other Identifiers 2

Medicare PINDA393ACA
Medicaid1053417212CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Pediatrics (Adolescent Medicine)
1900 GARDEN RD STE 110
MONTEREY, CA 93940
Pediatrics
1900 GARDEN RD STE 110
MONTEREY, CA 93940
Pediatrics (Adolescent Medicine)
1900 GARDEN RD STE 110
MONTEREY, CA 93940
Pediatrics
1900 GARDEN RD STE 110
MONTEREY, CA 93940

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 Penn, Kanaya, Dwelle, Md's's NPI number?

The NPI number for Penn, Kanaya, Dwelle, Md's is 1053417212. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as Pediatric Group Of Monterey.

Where is Penn, Kanaya, Dwelle, Md's located?

Penn, Kanaya, Dwelle, Md's is located at 1900 Garden Rd Ste 110, Monterey, CA 93940. The listed phone number is (831) 372-5841.

What is Penn, Kanaya, Dwelle, Md's's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Penn, Kanaya, Dwelle, Md's was last updated on June 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.