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KIWI PEDIATRICS MEDICAL GROUP, INC.
NPI 1104861467
Pediatrics in Berkeley, CA

Active since June 19, 2006CLIA 05D0877402 · Waiver
1744 ALCATRAZ AVE, BERKELEY, CA 94703(510) 652-1720(510) 652-2624 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kiwi Pediatrics Medical Group, Inc. NPPES

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

KIWI PEDIATRICS MEDICAL GROUP, INC. (NPI 1104861467) is a healthcare organization registered as a pediatrics in Berkeley, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Elizabeth Laura Salsburg, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1104861467
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIWI PEDIATRICS MEDICAL GROUP, INC.
Location Address1744 ALCATRAZ AVEBerkeley, CA 94703-2713
Mailing Address1744 Alcatraz AveBerkeley, CA 94703-2713 · (510) 652-1720 · Fax (510) 652-2624
Phone(510) 652-1720
Fax(510) 652-2624
Organization SubpartNo
Authorized OfficialElizabeth Laura SalsburgSecretary Treasurer · (510) 652-1720
Enumeration DateJune 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104861467 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.
1744 ALCATRAZ AVE, Berkeley, CA 94703
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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 05D0877402

Kiwi Pediatrics Medical Group, Inc · Berkeley, CA
Active · expires May 3, 2027
CLIA Number05D0877402
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorRobin F. Winokur, MD
Laboratory Phone(510) 652-1720
Laboratory LocationKiwi Pediatrics Medical Group, Inc1744 Alcatraz Avenue, Berkeley, CA 94703
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 5

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

ROBIN FEINER WINOKUR M.D.
Pediatrics
1744 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 652-1720
KUN LU NP, RN
Nurse Practitioner (Pediatrics)
1744 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 652-1720
BENJAMIN JARRAHI M.D.
Pediatrics
1744 ALCATRAZ AVE, KIWI PEDIATRICS
BERKELEY, CA 94703
Alameda County (510) 652-1720
DR. ELIZABETH LAURA SALSBURG M.D.
Pediatrics
1744 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 652-1720
DAVID WALTER KITTAMS M.D.
Pediatrics
1744 ALCATRAZ AVE
BERKELEY, CA 94703
Alameda County (510) 652-1720

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 Kiwi Pediatrics Medical Group, Inc.'s NPI number?

The NPI number for Kiwi Pediatrics Medical Group, Inc. is 1104861467. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Kiwi Pediatrics Medical Group, Inc. located?

Kiwi Pediatrics Medical Group, Inc. is located at 1744 Alcatraz Ave, Berkeley, CA 94703. The listed phone number is (510) 652-1720.

What is Kiwi Pediatrics Medical Group, Inc.'s specialty?

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

Does Kiwi Pediatrics Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0877402) is associated with this NPI, valid through May 3, 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 Kiwi Pediatrics 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.