SUMMIT PEDIATRIC MEDICAL CLINIC
NPI 1174128482
Clinic/Center in Murrieta, CA

Active since December 03, 2020CLIA 05D2230268 · Waiver
29995 TECHNOLOGY DR STE 100, MURRIETA, CA 92563(951) 412-1610 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Pediatric Medical Clinic NPPES

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

SUMMIT PEDIATRIC MEDICAL CLINIC (NPI 1174128482) is a healthcare organization registered as a clinic/center in Murrieta, California and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Leon Yan, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1174128482
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLEON YAN MD
Location Address29995 TECHNOLOGY DR STE 100Murrieta, CA 92563-2632
Mailing Address29995 Technology Dr Ste 100Murrieta, CA 92563-2632 · (951) 412-1610
Organization SubpartYes
Authorized OfficialLeon YanMd/owner · (951) 412-1610
Enumeration DateDecember 3, 2020
Last NPPES UpdateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
NPI 1174128482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
29995 TECHNOLOGY DR STE 100, Murrieta, CA 92563

Other Names 1

Doing Business AsSummit Pediatric Medical Clinic

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 05D2230268

Summit Pediatric Medical Clinic Inc. · Murrieta, CA
Active · expires Jul 20, 2027
CLIA Number05D2230268
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorLeon Yan
Laboratory Phone(951) 412-1610
Laboratory LocationSummit Pediatric Medical Clinic Inc.29995 Technology Dr. Unit A100, Murrieta, CA 92563
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Leon Yan MD's NPI number?

The NPI number for Leon Yan MD is 1174128482. It was assigned to this organization in the NPPES registry on December 3, 2020. The provider is doing business as Summit Pediatric Medical Clinic.

Where is Leon Yan MD located?

Leon Yan MD is located at 29995 Technology Dr Ste 100, Murrieta, CA 92563. The listed phone number is (951) 412-1610.

What is Leon Yan MD's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Leon Yan MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2230268) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leon Yan MD was last updated on December 4, 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.