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SOUTH COAST PEDIATRICS
NPI 1083736474
Pediatrics in Santa Ana, CA

Active since April 04, 2007CLIA 05D0898130 · Waiver
1619 N SPURGEON ST, SANTA ANA, CA 92701(714) 558-9393 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Coast Pediatrics NPPES

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

SOUTH COAST PEDIATRICS (NPI 1083736474) is a healthcare organization registered as a pediatrics in Santa Ana, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Jacob Wolsztejn, Owner, as its authorized official.

NPPES Registry Identity

NPI1083736474
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH COAST PEDIATRICS
Location Address1619 N SPURGEON STSanta Ana, CA 92701-2328
Mailing Address1619 N Spurgeon StSanta Ana, CA 92701-2328 · (714) 558-9393
Phone(714) 558-9393
Organization SubpartNo
Authorized OfficialJacob WolsztejnOwner · (714) 558-9393
Enumeration DateApril 4, 2007
Last NPPES UpdateDecember 8, 2011
✔ NPI 1083736474 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.
1619 N SPURGEON ST, Santa Ana, CA 92701
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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 05D0898130

South Coast Pediatrics · Santa Ana, CA
Active · expires Dec 7, 2027
CLIA Number05D0898130
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorJacob Wolsztejn
Laboratory Phone(714) 558-9393
Laboratory LocationSouth Coast Pediatrics1619 N Spurgeon, Santa Ana, CA 92701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 South Coast Pediatrics's NPI number?

The NPI number for South Coast Pediatrics is 1083736474. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is South Coast Pediatrics located?

South Coast Pediatrics is located at 1619 N Spurgeon St, Santa Ana, CA 92701. The listed phone number is (714) 558-9393.

What is South Coast Pediatrics's specialty?

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

Does South Coast Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0898130) is associated with this NPI, valid through December 7, 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 South Coast Pediatrics was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.