KRISTIN PELINKA, M.D., INC.
NPI 1164886495
Clinic/Center - Medical Specialty in Costa Mesa, CA

NPI Status: Active since April 12, 2016

Contact Information

1190 BAKER ST STE 103
COSTA MESA, CA
ZIP 92626
Phone: (714) 668-2525
Fax: (714) 668-2530

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • CLIA Number: 05D2157683
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-08-2026

About KRISTIN PELINKA, M.D., INC.

This page provides the complete NPI Profile along with additional information for Kristin Pelinka, M.d., Inc., a provider established in Costa Mesa, California operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1164886495 assigned on April 2016. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kristin Brett Pelinka Md (President)

NPI
1164886495
Provider Name
KRISTIN PELINKA, M.D., INC.
Entity Type
Organization
Location Address
1190 BAKER ST STE 103 COSTA MESA, CA 92626
Location Phone
(714) 668-2525
Location Fax
(714) 668-2530
Mailing Address
PO BOX 295 SUISUN CITY, CA 94585
Mailing Phone
(657) 241-3600
Mailing Fax
(714) 668-2530
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2016
Last Update Date
03-25-2026
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080A0000XAllopathic & Osteopathic Physicians

Pediatrics
Adolescent Medicine

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KRISTIN BRETT PELINKA MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 668-2525

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
05D2157683
Facility Type
Physician Office
Certificate Effective Date
November 09, 2024
Certificate Expiration Date
November 08, 2026
Laboratory Director
KRISTIN PELINKA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kristin Pelinka, M.d., Inc. 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.

Reviews for KRISTIN PELINKA, M.D., INC.

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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 1164886495, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 6 → 12 → 3 8 → 16 → 7 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 6 + 8 + 1 + 2 + 4 + 1 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1164886495.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pediatrics
1190 BAKER ST STE 103
COSTA MESA, CA 92626
Pediatrics (Adolescent Medicine)
1190 BAKER ST STE 103
COSTA MESA, CA 92626
Clinic/Center (Medical Specialty)
1190 BAKER ST STE 103
COSTA MESA, CA 92626
Pediatrics (Adolescent Medicine)
1190 BAKER ST STE 103
COSTA MESA, CA 92626
Pediatrics (Adolescent Medicine)
1190 BAKER ST STE 103
COSTA MESA, CA 92626
Pediatrics (Adolescent Medicine)
1190 BAKER ST STE 103
COSTA MESA, CA 92626
Pediatrics (Adolescent Medicine)
1190 BAKER ST STE 103
COSTA MESA, CA 92626

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164886495, enumerated as an "organization" on April 12, 2016.

The provider is located at 1190 BAKER ST STE 103 COSTA MESA, CA 92626 and the phone number is (714) 668-2525.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.