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PURI PEDIATRIC MEDICAL GROUP, INC.
NPI 1073575643
Pediatrics in Fremont, CA

Active since April 06, 2006CLIA 05D0598678 · Waiver
2243 MOWRY AVE, FREMONT, CA 94538(510) 797-7766(510) 797-0595 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Puri Pediatric Medical Group, Inc. NPPES

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

PURI PEDIATRIC MEDICAL GROUP, INC. (NPI 1073575643) is a healthcare organization registered as a pediatrics in Fremont, California and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Veena Puri, President, as its authorized official.

NPPES Registry Identity

NPI1073575643
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePURI PEDIATRIC MEDICAL GROUP, INC.
Location Address2243 MOWRY AVEFremont, CA 94538-1630
Mailing Address2243 Mowry Ave, Ste FFremont, CA 94538 · (510) 797-7766 · Fax (510) 797-0595
Phone(510) 797-7766
Fax(510) 797-0595
Organization SubpartNo
Authorized OfficialVeena PuriPresident · (510) 797-7766
Enumeration DateApril 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073575643 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.
2243 MOWRY AVE, Fremont, CA 94538
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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

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 05D0598678

Puri Pediactic Medical Group Inc · Fremont, CA
Active · expires Sep 18, 2027
CLIA Number05D0598678
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorVeena Puri MD
Laboratory Phone(510) 797-7766
Laboratory LocationPuri Pediactic Medical Group Inc2243 Mowry Avenue F, Fremont, CA 94538
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. VEENA PURI M.D.
Pediatrics
2243 MOWRY AVE
FREMONT, CA 94538
Alameda County (510) 797-7766
MRS. XIAODONG LI M.D.
Pediatrics
2243 MOWRY AVE
FREMONT, CA 94538
Alameda County (510) 797-7766
DR. CHARAN K SINGH M.D.
Psychiatry & Neurology (Neurology)
2243 MOWRY AVE, SUITE D
FREMONT, CA 94538
Alameda County (510) 795-8000
CKS MEDICAL GROUP INC.
Psychiatry & Neurology (Neurology)
2243 MOWRY AVE, SUITE D
FREMONT, CA 94538
Alameda County (510) 795-8000

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 Puri Pediatric Medical Group, Inc.'s NPI number?

The NPI number for Puri Pediatric Medical Group, Inc. is 1073575643. It was assigned to this organization in the NPPES registry on April 6, 2006.

Where is Puri Pediatric Medical Group, Inc. located?

Puri Pediatric Medical Group, Inc. is located at 2243 Mowry Ave, Fremont, CA 94538. The listed phone number is (510) 797-7766.

What is Puri Pediatric Medical Group, Inc.'s specialty?

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

Does Puri Pediatric Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0598678) is associated with this NPI, valid through September 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Puri Pediatric Medical Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.