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HUMBOLDT PEDIATRIC MEDICAL CORPORATION, INC.
NPI 1063927770
Pediatrics in Mckinleyville, CA

Active since December 05, 2017
2192 CENTRAL AVE STE A, MCKINLEYVILLE, CA 95519(707) 839-1000(707) 839-1400 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Humboldt Pediatric Medical Corporation, Inc. NPPES

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

HUMBOLDT PEDIATRIC MEDICAL CORPORATION, INC. (NPI 1063927770) is a healthcare organization registered as a pediatrics in Mckinleyville, California and active in the NPI registry since December 2017. The organization lists Sarah Bertram Poyen, Md, as its authorized official.

NPPES Registry Identity

NPI1063927770
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameHUMBOLDT PEDIATRIC MEDICAL CORPORATION, INC.
Location Address2192 CENTRAL AVE STE AMckinleyville, CA 95519-3610
Mailing Address1011 Freshwater RdEureka, CA 95503-9457 · (707) 599-0642
Phone(707) 839-1000
Fax(707) 839-1400
Organization SubpartNo
Authorized OfficialSarah Bertram PoyenMd · (707) 599-0642
Enumeration DateDecember 5, 2017
✔ NPI 1063927770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A64795
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.
2192 CENTRAL AVE STE A, Mckinleyville, CA 95519
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Other Identifiers 2

Medicaid1548234693CA
Medicaid1629074570CA

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

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 Humboldt Pediatric Medical Corporation, Inc.'s NPI number?

The NPI number for Humboldt Pediatric Medical Corporation, Inc. is 1063927770. It was assigned to this organization in the NPPES registry on December 5, 2017.

Where is Humboldt Pediatric Medical Corporation, Inc. located?

Humboldt Pediatric Medical Corporation, Inc. is located at 2192 Central Ave Ste A, Mckinleyville, CA 95519. The listed phone number is (707) 839-1000.

What is Humboldt Pediatric Medical Corporation, Inc.'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 Humboldt Pediatric Medical Corporation, Inc. was last updated on December 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.