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MONTEREY PENINSULA PEDIATRIC MEDICAL GROUP, INC
NPI 1235230624
Pediatrics in Monterey, CA

Active since September 26, 2006CLIA 05D0590628 · Waiver
2 UPPER RAGSDALE DR, MONTEREY, CA 93940(831) 333-0999(831) 333-0909 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Monterey Peninsula Pediatric Medical Group, Inc NPPES

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

MONTEREY PENINSULA PEDIATRIC MEDICAL GROUP, INC (NPI 1235230624) is a healthcare organization registered as a pediatrics in Monterey, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 28, 2026 and lists Alan H Rosen, Partner, as its authorized official.

NPPES Registry Identity

NPI1235230624
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMONTEREY PENINSULA PEDIATRIC MEDICAL GROUP, INC
Location Address2 UPPER RAGSDALE DRMonterey, CA 93940-5736
Mailing Address2 Upper Ragsdale DrMonterey, CA 93940-5736 · (831) 333-0999 · Fax (831) 333-0909
Phone(831) 333-0999
Fax(831) 333-0909
Organization SubpartNo
Authorized OfficialAlan H RosenPartner · (831) 333-0999
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 14, 2007
✔ NPI 1235230624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G023932
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.
2 UPPER RAGSDALE DR, Monterey, CA 93940
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Other Identifiers 1

MedicaidOOC325750CA

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 05D0590628

Monterey Peninsula Pediatric Medical Group · Monterey, CA
Active · expires Aug 28, 2026
CLIA Number05D0590628
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorJesse C. Pack
Laboratory Phone(831) 333-0999
Laboratory LocationMonterey Peninsula Pediatric Medical Group2 Upper Ragsdale Dr Ste B-210, Monterey, CA 93940
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 20

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

CENTRAL COAST HEAD & NECK SURDEONS A M C INC
Otolaryngology
2 UPPER RAGSDALE DR, STE B-270
MONTEREY, CA 93940
Monterey County (831) 657-0377
BETSY NOVOTNY CPNP
Nurse Practitioner (Pediatrics)
2 UPPER RAGSDALE DR, SUITE B210
MONTEREY, CA 93940
Monterey County (831) 333-0999
CYNTHIA FERNANDEZ MN, FNP- BC
Nurse Practitioner (Family)
2 UPPER RAGSDALE DR, SUITE B110- BUILDING B
MONTEREY, CA 93940
Monterey County (831) 647-3190
ROBIN ELIZABETH PROCTOR CRNP
Nurse Practitioner (Family)
2 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 649-7220
MEGAN SUZANNE O'NEILL PA-C
Physician Assistant (Medical)
2 UPPER RAGSDALE DR, SUITE B-200
MONTEREY, CA 93940
Monterey County (831) 375-6334
JODY LYNN WHITELOCK M.D.
Pediatrics
2 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 333-0999
DR. JENNIFER LYNN KEIR-GARZA
Otolaryngology
2 UPPER RAGSDALE DR, B230
MONTEREY, CA 93940
Monterey County (831) 649-0808
ASHLEE BLAINE DO
Psychiatry & Neurology (Psychiatry)
2 UPPER RAGSDALE DR
MONTEREY, CA 93940
Monterey County (831) 333-3040

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 Monterey Peninsula Pediatric Medical Group, Inc's NPI number?

The NPI number for Monterey Peninsula Pediatric Medical Group, Inc is 1235230624. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Monterey Peninsula Pediatric Medical Group, Inc located?

Monterey Peninsula Pediatric Medical Group, Inc is located at 2 Upper Ragsdale Dr, Monterey, CA 93940. The listed phone number is (831) 333-0999.

What is Monterey Peninsula Pediatric Medical Group, Inc's specialty?

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

Does Monterey Peninsula Pediatric Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0590628) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Monterey Peninsula Pediatric Medical Group, Inc was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.