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PACIFIC OCEAN PEDIATRICS
NPI 1184759599
Pediatrics in Santa Monica, CA

Active since February 23, 2007CLIA 05D0931028 · Waiver
2216 SANTA MONICA BLVD, STE #204, SANTA MONICA, CA 90404(310) 264-2100(310) 264-2108 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Ocean Pediatrics NPPES

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

PACIFIC OCEAN PEDIATRICS (NPI 1184759599) is a healthcare organization registered as a pediatrics in Santa Monica, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Lisa Willard Kessenich, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184759599
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePACIFIC OCEAN PEDIATRICS
Location Address2216 SANTA MONICA BLVD, STE #204Santa Monica, CA 90404
Mailing Address2216 Santa Monica Blvd, Ste #204Santa Monica, CA 90404 · (310) 264-2100 · Fax (310) 264-2108
Phone(310) 264-2100
Fax(310) 264-2108
Organization SubpartNo
Authorized OfficialLisa Willard KessenichOffice Manager · (310) 264-2100
Enumeration DateFebruary 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184759599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · CAG46186
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.
2216 SANTA MONICA BLVD, Santa Monica, CA 90404
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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 05D0931028

Pacific Ocean Pediatrics · Santa Monica, CA
Active · expires Jul 20, 2027
CLIA Number05D0931028
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorRobert C. Hamilton
Laboratory Phone(310) 264-2100
Laboratory LocationPacific Ocean Pediatrics2216 Santa Monica Blvd, #204, Santa Monica, CA 90404
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 5

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

BIOHEALTH DIAGNOSTIC LABORATORY
Clinical Medical Laboratory
2216 SANTA MONICA BLVD, SUITE 102
SANTA MONICA, CA 90404
Los Angeles County (310) 828-1506
DR. BIH-JU RUBY HUANG M.D.
Pediatrics
2216 SANTA MONICA BLVD, SUITE #200
SANTA MONICA, CA 90404
Los Angeles County (310) 828-3500
MEDICAL CLINICAL LABORATORY, INC.
Clinical Medical Laboratory
2216 SANTA MONICA BLVD, STE 101
SANTA MONICA, CA 90404
Los Angeles County (310) 829-2608
DR. LILY MARYAM MAROUF M.D.
Pediatrics
2216 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 264-2100
YUEN NEUROPEDIATRICS INC.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2216 SANTA MONICA BLVD, SUITE 204
SANTA MONICA, CA 90404
Los Angeles County (310) 264-2100

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 Pacific Ocean Pediatrics's NPI number?

The NPI number for Pacific Ocean Pediatrics is 1184759599. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Pacific Ocean Pediatrics located?

Pacific Ocean Pediatrics is located at 2216 Santa Monica Blvd Ste #204, Santa Monica, CA 90404. The listed phone number is (310) 264-2100.

What is Pacific Ocean Pediatrics's specialty?

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

Does Pacific Ocean Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0931028) 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 Pacific Ocean Pediatrics was last updated on August 22, 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.