NEWPORT CHILDREN MEDICAL GROUP AT MISSION
NPI 1154765709
Pediatrics in Mission Viejo, CA

Active since April 25, 2013CLIA 05D2064377 · Waiver
26800 CROWN VALLEY PKWY, SUITE 510, MISSION VIEJO, CA 92691(949) 364-8700(949) 365-1011 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Newport Children Medical Group At Mission NPPES

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

NEWPORT CHILDREN MEDICAL GROUP AT MISSION (NPI 1154765709) is a healthcare organization registered as a pediatrics in Mission Viejo, California and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Johanna Rodriguez-toledo, Secretary, as its authorized official.

NPPES Registry Identity

NPI1154765709
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNEWPORT CHILDREN MEDICAL GROUP AT MISSION
Location Address26800 CROWN VALLEY PKWY, SUITE 510Mission Viejo, CA 92691-6384
Mailing Address26800 Crown Valley Pkwy, Suite 510Mission Viejo, CA 92691-6384 · (949) 364-8700 · Fax (949) 365-1011
Fax(949) 365-1011
Organization SubpartNo
Authorized OfficialJohanna Rodriguez-toledoSecretary · (949) 364-8700
Enumeration DateApril 25, 2013
Last NPPES UpdateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
NPI 1154765709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A109148
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.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License A47947 (CA)
26800 CROWN VALLEY PKWY, Mission Viejo, CA 92691

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D2064377

Newport Children Medical Group At Mission · Mission Viejo, CA
Active · expires May 7, 2028
CLIA Number05D2064377
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorJohanna Rodriguez-Toledo MD
Laboratory Phone(949) 364-8700
Laboratory LocationNewport Children Medical Group At Mission26800 Crown Valley Pkwy Ste 510, Mission Viejo, CA 92691
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 20

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

Specialist
26800 CROWN VALLEY PKWY, SUITE 230
MISSION VIEJO, CA 92691
Podiatrist (Foot & Ankle Surgery)
26800 CROWN VALLEY PKWY, SUITE 320
MISSION VIEJO, CA 92691
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26800 CROWN VALLEY PKWY, SUITE 230
MISSION VIEJO, CA 92691
Emergency Medicine
26800 CROWN VALLEY PKWY, SUITE 150
MISSION VIEJO, CA 92691
Obstetrics & Gynecology
26800 CROWN VALLEY PKWY, SUITE 525
MISSION VIEJO, CA 92691
Dentist (Periodontics)
26800 CROWN VALLEY PKWY, STE 375
MISSION VIEJO, CA 92691
Internal Medicine (Cardiovascular Disease)
26800 CROWN VALLEY PKWY, SUITE 250
MISSION VIEJO, CA 92691
Internal Medicine (Nephrology)
26800 CROWN VALLEY PKWY, SUITE 250
MISSION VIEJO, CA 92691

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 Newport Children Medical Group At Mission's NPI number?

The NPI number for Newport Children Medical Group At Mission is 1154765709. It was assigned to this organization in the NPPES registry on April 25, 2013.

Where is Newport Children Medical Group At Mission located?

Newport Children Medical Group At Mission is located at 26800 Crown Valley Pkwy Suite 510, Mission Viejo, CA 92691. The listed phone number is (949) 364-8700.

What is Newport Children Medical Group At Mission's specialty?

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

Does Newport Children Medical Group At Mission hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2064377) is associated with this NPI, valid through May 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 Newport Children Medical Group At Mission was last updated on October 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.