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SAN JUAN PEDIATRICS INC
NPI 1073793790
Pediatrics in San Juan Capistrano, CA

Active since November 09, 2007CLIA 05D1010819 · Waiver
27372 CALLE ARROYO, SAN JUAN CAPISTRANO, CA 92675(949) 388-9009(949) 388-9665 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Juan Pediatrics Inc NPPES

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

SAN JUAN PEDIATRICS INC (NPI 1073793790) is a healthcare organization registered as a pediatrics in San Juan Capistrano, California and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Ashraf G. Fahim, Owner / Physician, as its authorized official.

NPPES Registry Identity

NPI1073793790
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSAN JUAN PEDIATRICS INC
Location Address27372 CALLE ARROYOSan Juan Capistrano, CA 92675-2746
Mailing Address27372 Calle ArroyoSan Juan Capistrano, CA 92675-2746 · (949) 388-9009 · Fax (949) 388-9665
Phone(949) 388-9009
Fax(949) 388-9665
Organization SubpartYes
Authorized OfficialAshraf G. FahimOwner / Physician · (949) 388-9009
Enumeration DateNovember 9, 2007
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1073793790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · GR0105670
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.
27372 CALLE ARROYO, San Juan Capistrano, CA 92675
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Other Names 1

Doing Business AsSan Juan Pediatrics Inc

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 05D1010819

San Juan Pediatrics, Inc · San Juan Capistrano, CA
Active · expires Jun 29, 2027
CLIA Number05D1010819
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorAshraf Fahim
Laboratory Phone(949) 388-9009
Laboratory LocationSan Juan Pediatrics, Inc27372 Calle Arroyo, San Juan Capistrano, CA 92675
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. ASHRAF GAMIL FAHIM MD
Pediatrics
27372 CALLE ARROYO
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 388-9009

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 San Juan Pediatrics Inc's NPI number?

The NPI number for San Juan Pediatrics Inc is 1073793790. It was assigned to this organization in the NPPES registry on November 9, 2007.

Where is San Juan Pediatrics Inc located?

San Juan Pediatrics Inc is located at 27372 Calle Arroyo, San Juan Capistrano, CA 92675. The listed phone number is (949) 388-9009.

What is San Juan Pediatrics Inc's specialty?

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

Does San Juan Pediatrics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1010819) is associated with this NPI, valid through June 29, 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 San Juan Pediatrics Inc was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.