1. Home
  2. Directory
  3. California
  4. Vista
  5. Pediatrics
  6. NPI Profile

CASSIDY MEDICAL GROUP -PEDS
NPI 1235206293
Pediatrics in Vista, CA

Active since November 28, 2006
2067 W VISTA WAY STE 280, VISTA, CA 92083(760) 941-3630(760) 941-1214 Get Directions Write a Review

NPPES record last updated: October 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cassidy Medical Group -peds NPPES

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

CASSIDY MEDICAL GROUP -PEDS (NPI 1235206293) is a healthcare organization registered as a pediatrics in Vista, California and active in the NPI registry since November 2006. The organization lists Judith M Krueger, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1235206293
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCASSIDY MEDICAL GROUP -PEDS
Location Address2067 W VISTA WAY STE 280Vista, CA 92083-6034
Mailing Address2067 W Vista Way Ste 280Vista, CA 92083-6034 · (760) 941-3630 · Fax (760) 941-1214
Phone(760) 941-3630
Fax(760) 941-1214
Organization SubpartYesParent: Cassidy Medical Group Inc.
Authorized OfficialJudith M KruegerExecutive Director · (760) 630-5487
Enumeration DateNovember 28, 2006
Last NPPES UpdateOctober 13, 2010
✔ NPI 1235206293 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.
2067 W VISTA WAY STE 280, Vista, CA 92083
Open in Google Maps ↗

Other Identifiers 1

OtherW41833AMedicare Ptan

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

Other Providers at the Same Location NPPES 4

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

MICHAEL D KRAK M.D.
Pediatrics
2067 W VISTA WAY STE 280
VISTA, CA 92083
San Diego County (760) 941-3630
LYNETTE M ASSELIN D.O.
Pediatrics
2067 W VISTA WAY STE 280
VISTA, CA 92083
San Diego County (760) 941-3630
MICHAEL W KARP M.D.
Pediatrics
2067 W VISTA WAY STE 280
VISTA, CA 92083
San Diego County (760) 941-3630
DIANE H BEDROSIAN M.D.
Pediatrics
2067 W VISTA WAY STE 280
VISTA, CA 92083
San Diego County (760) 941-3630

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 Cassidy Medical Group -Peds's NPI number?

The NPI number for Cassidy Medical Group -Peds is 1235206293. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Cassidy Medical Group -Peds located?

Cassidy Medical Group -Peds is located at 2067 W Vista Way Ste 280, Vista, CA 92083. The listed phone number is (760) 941-3630.

What is Cassidy Medical Group -Peds's specialty?

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

When was this NPI record last updated?

The NPPES record for Cassidy Medical Group -Peds was last updated on October 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.