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BEACHKIDS PEDIATRICS A PROFESSIONAL NURSING CORPORATION
NPI 1174916779
Nurse Practitioner - Pediatrics in Redondo Beach, CA

Active since March 06, 2015
918 EMERALD ST, REDONDO BEACH, CA 90277(310) 697-6833(848) 210-9648 Get Directions Write a Review

NPPES record last updated: March 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beachkids Pediatrics A Professional Nursing Corporation NPPES

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

BEACHKIDS PEDIATRICS A PROFESSIONAL NURSING CORPORATION (NPI 1174916779) is a healthcare organization registered as a pediatrics in Redondo Beach, California and active in the NPI registry since March 2015. The organization lists Theresa Cangialosi, Pediatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1174916779
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameBEACHKIDS PEDIATRICS A PROFESSIONAL NURSING CORPORATION
Location Address918 EMERALD STRedondo Beach, CA 90277-3261
Mailing Address918 Emerald StRedondo Beach, CA 90277-3261 · (310) 697-6833 · Fax (848) 210-9648
Phone(310) 697-6833
Fax(848) 210-9648
Organization SubpartNo
Authorized OfficialTheresa CangialosiPediatric Nurse Practitioner · (310) 697-6833
Enumeration DateMarch 6, 2015
✔ NPI 1174916779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 9281
918 EMERALD ST, Redondo Beach, CA 90277
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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

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 Beachkids Pediatrics A Professional Nursing Corporation's NPI number?

The NPI number for Beachkids Pediatrics A Professional Nursing Corporation is 1174916779. It was assigned to this organization in the NPPES registry on March 6, 2015.

Where is Beachkids Pediatrics A Professional Nursing Corporation located?

Beachkids Pediatrics A Professional Nursing Corporation is located at 918 Emerald St, Redondo Beach, CA 90277. The listed phone number is (310) 697-6833.

What is Beachkids Pediatrics A Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Beachkids Pediatrics A Professional Nursing Corporation was last updated on March 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.