MED-PED I D INCORPORATED
NPI 1245330364
Internal Medicine - Infectious Disease in Murrieta, CA

Active since September 25, 2006CLIA 05D2101184 · Waiver
28078 BAXTER RD, SUITE 320, MURRIETA, CA 92563(951) 679-5811(951) 679-5844 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Med-ped I D Incorporated NPPES

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

MED-PED I D INCORPORATED (NPI 1245330364) is a healthcare organization registered as an infectious disease in Murrieta, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 27, 2027, maintains a secondary practice location in Murrieta, and lists Chawki Harfouch, Employee, as its authorized official.

NPPES Registry Identity

NPI1245330364
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameMED-PED I D INCORPORATED
Location Address28078 BAXTER RD, SUITE 320Murrieta, CA 92563-1402
Mailing Address28078 Baxter Rd Ste 320Murrieta, CA 92563-1404 · (951) 679-5811 · Fax (951) 679-5844
Fax(951) 679-5844
Organization SubpartNo
Authorized OfficialChawki HarfouchEmployee · (951) 679-5811
Enumeration DateSeptember 25, 2006
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1245330364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in CA · A60874
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
28078 BAXTER RD, Murrieta, CA 92563

Secondary Practice Location 1

Location 128078 Baxter Rd Ste 424Murrieta, CA 92563-1404 · Phone (951) 679-5811 · Fax (951) 679-5844

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Med-ped I D Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Med-Ped I D Incorporated, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Infectious Disease
NPI 1245766088
28078 BAXTER RD STE 320
Murrieta, CA 92563
(951) 679-5811
✔ PECOSSame address
Podiatry
NPI 1548271828
28078 BAXTER RD STE 424
Murrieta, CA 92563
(951) 679-1020
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1942462783
28078 BAXTER RD SUITE 320
Murrieta, CA 92563
(951) 679-5811
✔ PECOSSame address
Infectious Disease
NPI 1396842704
28078 BAXTER RD 320
Murrieta, CA 92563
(951) 679-5811
✔ PECOSSame address
Podiatry
NPI 1023646114
710 LAWRENCE EXPY
Santa Clara, CA 95051
(408) 851-1000
✔ PECOS✔ Accepts Medicare374 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2101184

Med Ped Id , Incorporated · Murrieta, CA
Active · expires Aug 27, 2027
CLIA Number05D2101184
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorThuan P. Le
Laboratory Phone(951) 679-5811
Laboratory LocationMed Ped Id , Incorporated28078 Baxter Rd Ste 320, Murrieta, CA 92563
CLIA data matches this NPI record on: Address 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 Med-Ped I D Incorporated's NPI number?

The NPI number for Med-Ped I D Incorporated is 1245330364. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Med-Ped I D Incorporated located?

Med-Ped I D Incorporated is located at 28078 Baxter Rd Suite 320, Murrieta, CA 92563. The listed phone number is (951) 679-5811.

What is Med-Ped I D Incorporated's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Med-Ped I D Incorporated enrolled in Medicare?

Yes. Med-Ped I D Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Med-Ped I D Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Med-Ped I D Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Infectious Disease (3) and Podiatry (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Med-Ped I D Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2101184) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Med-Ped I D Incorporated was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.