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PEDIATRIC WELLNESS PARTNERS, A PROFESSIONAL NURSING CORPORATION
NPI 1104684612
Nurse Practitioner - Pediatrics in Los Altos, CA

Active since March 08, 2024
919 FREMONT AVE STE 200, LOS ALTOS, CA 94024(650) 941-2300 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, May 6, 2024, Mar 8, 2024 (3 updates tracked since 2024).

About Pediatric Wellness Partners, A Professional Nursing Corporation NPPES

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

PEDIATRIC WELLNESS PARTNERS, A PROFESSIONAL NURSING CORPORATION (NPI 1104684612) is a healthcare organization registered as a pediatrics in Los Altos, California and active in the NPI registry since March 2024. The organization lists Kimberly Erlich, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1104684612
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NamePEDIATRIC WELLNESS PARTNERS, A PROFESSIONAL NURSING CORPORATION
Location Address919 FREMONT AVE STE 200Los Altos, CA 94024-6045
Mailing Address995 Marsh Rd Ste 102Redwood City, CA 94063-4441
Phone(650) 941-2300
Organization SubpartNo
Authorized OfficialKimberly ErlichFounder/ceo · (650) 910-4708
Enumeration DateMarch 8, 2024
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1104684612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
919 FREMONT AVE STE 200, Los Altos, CA 94024
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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

Other Providers at the Same Location NPPES

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

KAITLIN MEDEIROS LMFT
Marriage & Family Therapist
919 FREMONT AVE STE 200
LOS ALTOS, CA 94024
Santa Clara County (650) 691-5084

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 Pediatric Wellness Partners, A Professional Nursing Corporation's NPI number?

The NPI number for Pediatric Wellness Partners, A Professional Nursing Corporation is 1104684612. It was assigned to this organization in the NPPES registry on March 8, 2024.

Where is Pediatric Wellness Partners, A Professional Nursing Corporation located?

Pediatric Wellness Partners, A Professional Nursing Corporation is located at 919 Fremont Ave Ste 200, Los Altos, CA 94024. The listed phone number is (650) 941-2300.

What is Pediatric Wellness Partners, A Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Pediatric Wellness Partners, A Professional Nursing Corporation was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.