Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CLOVIS PEDIATRIC GROUP
NPI 1245168566
Clinic/Center - Primary Care in Clovis, CA

Active since May 08, 2026CLIA 05D2306791 · Waiver
726 N MEDICAL CENTER DR E, CLOVIS, CA 93611(559) 900-3045 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2026, May 8, 2026 (2 updates tracked since 2026).

About Clovis Pediatric Group NPPES

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

CLOVIS PEDIATRIC GROUP (NPI 1245168566) is a healthcare organization registered as a primary care in Clovis, California and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Mandeep Dhillon, Np, as its authorized official.

NPPES Registry Identity

NPI1245168566
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLOVIS PEDIATRIC GROUP
Location Address726 N MEDICAL CENTER DR EClovis, CA 93611-6881
Mailing Address726 N Medical Center Dr EClovis, CA 93611-6881
Organization SubpartNo
Authorized OfficialMandeep DhillonNp · (559) 900-3045
Enumeration DateMay 8, 2026
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
NPI 1245168566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
726 N MEDICAL CENTER DR E, Clovis, CA 93611

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 05D2306791

Clovis Pediatric Group · Fresno, CA
Active · expires Jun 24, 2028
CLIA Number05D2306791
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorAmar Siddique
Laboratory Phone(559) 900-3045
Laboratory LocationClovis Pediatric Group5606 E Kings Canyon Rd, Fresno, CA 93727
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
726 N MEDICAL CENTER DR E
CLOVIS, CA 93611
Nurse Practitioner (Family)
726 N MEDICAL CENTER DR E
CLOVIS, CA 93611

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 Clovis Pediatric Group's NPI number?

The NPI number for Clovis Pediatric Group is 1245168566. It was assigned to this organization in the NPPES registry on May 8, 2026.

Where is Clovis Pediatric Group located?

Clovis Pediatric Group is located at 726 N Medical Center Dr E, Clovis, CA 93611. The listed phone number is (559) 900-3045.

What is Clovis Pediatric Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Clovis Pediatric Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2306791) is associated with this NPI, valid through June 24, 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 Clovis Pediatric Group was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.