MISSION CHILDREN'S MEDICAL GROUP, INC
NPI 1124123096
Pediatrics in Mission Viejo, CA

Q: What is Mission Children's Medical Group, Inc's specialty?

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

Active since September 14, 2006CLIA 05D2107243 · Waiver

26732 CROWN VALLEY PKWY, STE 571, MISSION VIEJO, CA 92691(949) 364-8700(949) 365-1011 Get Directions Write a Review

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

On this page

About Mission Children's Medical Group, Inc NPPES

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

MISSION CHILDREN'S MEDICAL GROUP, INC (NPI 1124123096) is a healthcare organization registered as a pediatrics in Mission Viejo, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Kurt D Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124123096

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMISSION CHILDREN'S MEDICAL GROUP, INC

Location Address26732 CROWN VALLEY PKWY, STE 571Mission Viejo, CA 92691-6306

Mailing Address26732 Crown Valley Pkwy, Ste 571Mission Viejo, CA 92691-6306 · (949) 364-8700 · Fax (949) 365-1011

Phone(949) 364-8700

Fax(949) 365-1011

Organization SubpartNo

Authorized OfficialKurt D MillerCeo · (949) 364-8700

Enumeration DateSeptember 14, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1124123096 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.

26732 CROWN VALLEY PKWY, Mission Viejo, CA 92691

Open in Google Maps ↗

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 05D2107243

St. Jude Hospital Yorba Linda Dba Mission Heritage Medical Group · Mission Viejo, CA

Active · expires Jan 7, 2028

CLIA Number05D2107243

Laboratory TypePhysician Office

Certificate Effective DateJanuary 8, 2026

Certificate Expiration DateJanuary 7, 2028

Laboratory DirectorRama Samoori

Laboratory Phone(949) 364-7246

Laboratory LocationSt. Jude Hospital Yorba Linda Dba Mission Heritage Medical Group26732 Crown Valley Pkwy Ste 170, Mission Viejo, CA 92691

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. ELEONORE ZETRENNE MD

Specialist

26732 CROWN VALLEY PKWY, SUITE 585
MISSION VIEJO, CA 92691

Orange County (949) 364-1010

MELVIN K AKAZAWA MD INC

Surgery (Plastic and Reconstructive Surgery)

26732 CROWN VALLEY PKWY, SUITE 381
MISSION VIEJO, CA 92691

Orange County (949) 364-2150

DR. VICTOR V CACHIA DPM

Podiatrist (Foot & Ankle Surgery)

26732 CROWN VALLEY PKWY, 317
MISSION VIEJO, CA 92691

Orange County (949) 364-2525

MRS. HEATHER LAN-PHUONG NGUYEN

Technician/Technologist

26732 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691

Orange County (949) 364-1400

ALEXANDER TAGHVA, M.D., INC.

Neurological Surgery

26732 CROWN VALLEY PKWY, SUITE 541
MISSION VIEJO, CA 92691

Orange County (949) 388-7190

GLENDA S ROGERS RN

Registered Nurse

26732 CROWN VALLEY PKWY, SUITE 351
MISSION VIEJO, CA 92691

Orange County (949) 364-1007

NEUROLOGICAL SURGERY MEDICAL ASSOCIATES INC

Neurological Surgery

26732 CROWN VALLEY PKWY, SUITE 561
MISSION VIEJO, CA 92691

Orange County (949) 364-1060

MS. ROSEMARY ANN CLARKE RNFA

Registered Nurse

26732 CROWN VALLEY PKWY, SUITE 351
MISSION VIEJO, CA 92691

Orange County (949) 364-1007

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 Mission Children's Medical Group, Inc's NPI number?

The NPI number for Mission Children's Medical Group, Inc is 1124123096. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Mission Children's Medical Group, Inc located?

Mission Children's Medical Group, Inc is located at 26732 Crown Valley Pkwy Ste 571, Mission Viejo, CA 92691. The listed phone number is (949) 364-8700.

What is Mission Children's Medical Group, Inc's specialty?

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

Does Mission Children's Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2107243) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mission Children's 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.