DR. SMITA BHARGAVA TANDON MD
NPI 1205835634
Pediatrics in Fountain Valley, CA

Q: What is Smita Tandon's NPI number?

The NPI number for Smita Tandon is 1205835634. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Q: What is Smita Tandon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Smita Tandon was last updated on January 6, 2021. 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.

Active since July 18, 2005CLIA 05D0989066 · Waiver

11100 WARNER AVE STE 368, FOUNTAIN VALLEY, CA 92708(714) 241-1777(714) 241-7221 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 6, 2021, Oct 3, 2019, Jan 11, 2019 (3 updates tracked since 2019).

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About Dr. Smita Bhargava Tandon Md NPPES

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

DR. SMITA BHARGAVA TANDON MD (NPI 1205835634) is an individual pediatrics provider in Fountain Valley, California, licensed in California (A49104) and active in the NPI registry since July 2005. She holds a CLIA Waiver certificate valid through July 15, 2027.

NPPES Registry Identity

NPI1205835634

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SMITA BHARGAVA TANDONCredential: MD

Location Address11100 WARNER AVE STE 368Fountain Valley, CA 92708-7514

Mailing Address11100 Warner Ave Ste 368Fountain Valley, CA 92708-7514 · (714) 241-1777 · Fax (714) 241-7221

Phone(714) 241-1777

Fax(714) 241-7221

Sole ProprietorYes

Enumeration DateJuly 18, 2005

Last NPPES UpdateJanuary 6, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2021

✔ NPI 1205835634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A49104

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.

11100 WARNER AVE STE 368, Fountain Valley, CA 92708

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Other Identifiers 2

Medicaid00A491041CA

Medicaid1205835634CA

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 05D0989066

Smita Tandon MD · Fountain Valley, CA

Active · expires Jul 15, 2027

CLIA Number05D0989066

Laboratory TypePhysician Office

Certificate Effective DateJuly 16, 2025

Certificate Expiration DateJuly 15, 2027

Laboratory DirectorSmita Tandon MD

Laboratory Phone(714) 241-1777

Laboratory LocationSmita Tandon MD11100 Warner Ave Ste 368, Fountain Valley, CA 92708

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.

TIFFANY PHAN FNP

Nurse Practitioner (Family)