IRENE PE MD
NPI 1154560415
Pediatrics in Garden Grove, CA

NPI Status: Active since February 10, 2009

Contact Information

12665 GARDEN GROVE BLVD
SUITE 606
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 530-5100
Fax: (714) 534-9400

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  • Individual
  • Female
  • Pediatrics
  • CLIA Number: 05D0893894
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-31-2026

About IRENE PE

This page provides the complete NPI Profile along with additional information for Irene Pe, a pediatrician established in Garden Grove, California with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1154560415 assigned on February 2009. The practitioner's primary taxonomy code is 208000000X with license number A49301 (CA). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1154560415
Provider Name
IRENE PE MD
Gender
Female
Entity Type
Individual
Location Address
12665 GARDEN GROVE BLVD SUITE 606 GARDEN GROVE, CA 92843
Location Phone
(714) 530-5100
Location Fax
(714) 534-9400
Mailing Address
12665 GARDEN GROVE BLVD SUITE 606 GARDEN GROVE, CA 92843
Mailing Phone
(714) 530-5100
Mailing Fax
(714) 534-9400
Is Sole Proprietor?
No
Enumeration Date
02-10-2009
Last Update Date
02-10-2009
Code Navigator

A pediatrician like Irene Pe is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
A49301
License State
CA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00A493010MEDICAID (05)CA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0893894
Facility Type
Physician Office
Certificate Effective Date
November 01, 2024
Certificate Expiration Date
October 31, 2026
Laboratory Director
IRENE PE MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Irene Pe to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154560415, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 0 + 6 + 0 + 4 + 2 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1154560415.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
12665 GARDEN GROVE BLVD, SUITE 301
GARDEN GROVE, CA 92843
Ophthalmology
12665 GARDEN GROVE BLVD, SUITE 401
GARDEN GROVE, CA 92843
Internal Medicine (Gastroenterology)
12665 GARDEN GROVE BLVD, SUITE 304
GARDEN GROVE, CA 92843
Clinic/Center
12665 GARDEN GROVE BLVD, STE. 606
GARDEN GROVE, CA 92843
Specialist
12665 GARDEN GROVE BLVD, STE#606
GARDEN GROVE, CA 92843
Specialist
12665 GARDEN GROVE BLVD, SUITE 206
GARDEN GROVE, CA 92843
Internal Medicine
12665 GARDEN GROVE BLVD, #502-A
GARDEN GROVE, CA 92843
Pediatrics (Neonatal-Perinatal Medicine)
12665 GARDEN GROVE BLVD, SUITE 713
GARDEN GROVE, CA 92843
Family Medicine
12665 GARDEN GROVE BLVD, #502-A
GARDEN GROVE, CA 92843
Family Medicine
12665 GARDEN GROVE BLVD, #502-A
GARDEN GROVE, CA 92843
Dentist
12665 GARDEN GROVE BLVD, SUITE 213
GARDEN GROVE, CA 92843
Family Medicine
12665 GARDEN GROVE BLVD, #502-A
GARDEN GROVE, CA 92843
Family Medicine
12665 GARDEN GROVE BLVD, SUITE # 614
GARDEN GROVE, CA 92843
Dentist
12665 GARDEN GROVE BLVD, 102
GARDEN GROVE, CA 92843
Pharmacist
12665 GARDEN GROVE BLVD, #108
GARDEN GROVE, CA 92843
Dentist (General Practice)
12665 GARDEN GROVE BLVD, SUITE 208
GARDEN GROVE, CA 92843
Psychologist (Clinical)
12665 GARDEN GROVE BLVD, 714
GARDEN GROVE, CA 92843
Chiropractor
12665 GARDEN GROVE BLVD, SUITE 311
GARDEN GROVE, CA 92843
Acupuncturist
12665 GARDEN GROVE BLVD, SUITE 609
GARDEN GROVE, CA 92843
Legal Medicine
12665 GARDEN GROVE BLVD, SUITE 111
GARDEN GROVE, CA 92843

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154560415, enumerated as an "individual" on February 10, 2009.

The provider is located at 12665 GARDEN GROVE BLVD SUITE 606 GARDEN GROVE, CA 92843 and the phone number is (714) 530-5100.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.