CPCMG
NPI 1184788291
Pediatrics in San Diego, CA

Active since December 21, 2006CLIA Certified · 3 labs
3880 MURPHY CANYON ROAD, SUITE 200, SAN DIEGO, CA 92123(858) 636-4300(858) 636-4319 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cpcmg NPPES

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

CPCMG (NPI 1184788291) is a healthcare organization registered as a pediatrics in San Diego, California and active in the NPI registry since December 2006. The organization holds 3 active CLIA laboratory certificates and lists Adam Breslow, President, as its authorized official.

NPPES Registry Identity

NPI1184788291
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDREN'S PRIMARY CARE MEDICAL GROUP, INC.
Location Address3880 MURPHY CANYON ROAD, SUITE 200San Diego, CA 92123-4411
Mailing Address3880 Murphy Canyon Road, Suite 200San Diego, CA 92123-4411 · (858) 636-4300 · Fax (858) 636-4319
Fax(858) 636-4319
Organization SubpartNo
Authorized OfficialAdam BreslowPresident · (858) 636-4300
Enumeration DateDecember 21, 2006
Last NPPES UpdateJanuary 17, 2017
NPI 1184788291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
3880 MURPHY CANYON ROAD, San Diego, CA 92123

Other Names 1

Other NameCpcmg

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

CLIA Laboratory Certificates CMS CLIA 3

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 05D2131156

Children's Primary Care Medical Group, Inc. · Santee, CA
Active · expires May 22, 2027
CLIA Number05D2131156
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorRegina Mangine
Laboratory Phone(858) 636-4300
Laboratory LocationChildren's Primary Care Medical Group, Inc.9600 Cuyamaca St Ste 101, Santee, CA 92071
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2050858

Children's Primary Care Medical Group, Inc. · San Diego, CA
Active · expires Dec 6, 2026
CLIA Number05D2050858
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorJaime Friedman
Laboratory Phone(858) 636-4300
Laboratory LocationChildren's Primary Care Medical Group, Inc.16918 Dove Canyon Rd., Ste. 200, San Diego, CA 92127
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2087761

Childrens Primary Care Medical Group Inc · San Diego, CA
Active · expires Dec 2, 2026
CLIA Number05D2087761
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorJamie Jordan
Laboratory Phone(858) 636-4300
Laboratory LocationChildrens Primary Care Medical Group Inc12036 Scripps Highland Dr Ste 102, San Diego, CA 92131
CLIA data matches this NPI record on: 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 Children's Primary Care Medical Group, Inc.'s NPI number?

The NPI number for Children's Primary Care Medical Group, Inc. is 1184788291. It was assigned to this organization in the NPPES registry on December 21, 2006. The provider is also known as Cpcmg.

Where is Children's Primary Care Medical Group, Inc. located?

Children's Primary Care Medical Group, Inc. is located at 3880 Murphy Canyon Road Suite 200, San Diego, CA 92123. The listed phone number is (858) 636-4300.

What is Children's Primary Care Medical Group, Inc.'s specialty?

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

Does Children's Primary Care Medical Group, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Children's Primary Care Medical Group, Inc. was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.