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PLEASANT VALLEY PEDIATRIC MEDICAL GROUP
NPI 1114570082
Pediatrics in Camarillo, CA

Active since July 19, 2019CLIA 05D0886961 · Microscopy
2486 N PONDEROSA DR STE D211, CAMARILLO, CA 93010(805) 484-2818 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pleasant Valley Pediatric Medical Group NPPES

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

PLEASANT VALLEY PEDIATRIC MEDICAL GROUP (NPI 1114570082), doing business as Pediatrician, is a healthcare organization registered as a pediatrics in Camarillo, California and active in the NPI registry since July 2019. The organization holds a CLIA Microscopy certificate valid through November 30, 2026 and lists Robert Vasko, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1114570082
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePLEASANT VALLEY PEDIATRIC MEDICAL GROUP
Location Address2486 N PONDEROSA DR STE D211Camarillo, CA 93010-2470
Mailing Address2486 N Ponderosa Dr Ste D211Camarillo, CA 93010-2470 · (805) 484-2818
Phone(805) 484-2818
Organization SubpartNo
Authorized OfficialRobert VaskoPediatrician · (805) 368-0836
Enumeration DateJuly 19, 2019
✔ NPI 1114570082 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.
2486 N PONDEROSA DR STE D211, Camarillo, CA 93010
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Other Names 1

Doing Business AsPediatrician

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0886961

Pleasant Valley Pediatric Medical Grp · Camarillo, CA
Active · expires Nov 30, 2026
CLIA Number05D0886961
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorJohn Dandrea
Laboratory Phone(805) 484-2818
Laboratory LocationPleasant Valley Pediatric Medical Grp2486 Ponderosa Drive North D-211, Camarillo, CA 93010
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

HEIDI ERICKSON PNP
Nurse Practitioner (Pediatrics)
2486 N PONDEROSA DR STE D211
CAMARILLO, CA 93010
Ventura County (805) 484-2818
BRIANNE GUEVARA CPNP-AC/PC
Nurse Practitioner (Pediatrics)
2486 N PONDEROSA DR STE D211
CAMARILLO, CA 93010
Ventura County (805) 484-2818
PLEASANT VALLEY PEDIATRIC MEDICAL GROUP
Pediatrics
2486 N PONDEROSA DR STE D211
CAMARILLO, CA 93010
Ventura County (805) 484-2818

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 Pleasant Valley Pediatric Medical Group's NPI number?

The NPI number for Pleasant Valley Pediatric Medical Group is 1114570082. It was assigned to this organization in the NPPES registry on July 19, 2019. The provider is doing business as Pediatrician.

Where is Pleasant Valley Pediatric Medical Group located?

Pleasant Valley Pediatric Medical Group is located at 2486 N Ponderosa Dr Ste D211, Camarillo, CA 93010. The listed phone number is (805) 484-2818.

What is Pleasant Valley Pediatric Medical Group's specialty?

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

Does Pleasant Valley Pediatric Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0886961) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pleasant Valley Pediatric Medical Group was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.