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DIEGO MEDICAL CORPORATION
NPI 1225060643
Pediatrics in Rancho Palos Verdes, CA

Active since July 07, 2006CLIA 05D0916608 · Waiver
30 MUSTANG RD, RANCHO PALOS VERDES, CA 90275(310) 549-2840(310) 549-3115 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Diego Medical Corporation NPPES

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

DIEGO MEDICAL CORPORATION (NPI 1225060643) is a healthcare organization registered as a pediatrics in Rancho Palos Verdes, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 25, 2028 and lists Alice Diego-malit, Physician, as its authorized official.

NPPES Registry Identity

NPI1225060643
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDIEGO MEDICAL CORPORATION
Location Address30 MUSTANG RDRancho Palos Verdes, CA 90275-5250
Mailing Address23517 Main St Ste 101Carson, CA 90745-5227 · (310) 549-2840 · Fax (310) 549-3115
Phone(310) 549-2840
Fax(310) 549-3115
Organization SubpartNo
Authorized OfficialAlice Diego-malitPhysician · (310) 549-2840
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1225060643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A60216
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.
30 MUSTANG RD, Rancho Palos Verdes, CA 90275
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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

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 05D0916608

Diego Medical Corporation · Carson, CA
Active · expires Jun 25, 2028
CLIA Number05D0916608
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorAlice Diego - Malit
Laboratory Phone(310) 549-2840
Laboratory LocationDiego Medical Corporation23517 So Main Street, #101, Carson, CA 90745
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 Diego Medical Corporation's NPI number?

The NPI number for Diego Medical Corporation is 1225060643. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Diego Medical Corporation located?

Diego Medical Corporation is located at 30 Mustang Rd, Rancho Palos Verdes, CA 90275. The listed phone number is (310) 549-2840.

What is Diego Medical Corporation's specialty?

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

Does Diego Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0916608) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diego Medical Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.