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PEDIATRIC ASSOCIATES MEDICAL GROUP, INC.
NPI 1255366712
Clinic/Center - Primary Care in Sherman Oaks, CA

Active since July 12, 2006CLIA 05D0560868 · Microscopy
4330 FULTON AVE, SHERMAN OAKS, CA 91423(818) 784-1102(818) 784-1653 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Associates Medical Group, Inc. NPPES

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

PEDIATRIC ASSOCIATES MEDICAL GROUP, INC. (NPI 1255366712) is a healthcare organization registered as a primary care in Sherman Oaks, California and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through November 11, 2027 and lists Thomas A Glassman, Vice President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1255366712
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDIATRIC ASSOCIATES MEDICAL GROUP, INC.
Location Address4330 FULTON AVESherman Oaks, CA 91423-3907
Mailing Address4330 Fulton AveSherman Oaks, CA 91423-3907 · (818) 784-1102 · Fax (818) 784-1653
Phone(818) 784-1102
Fax(818) 784-1653
Organization SubpartNo
Authorized OfficialThomas A GlassmanVice President Of Corporation · (818) 784-1102
Enumeration DateJuly 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255366712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4330 FULTON AVE, Sherman Oaks, CA 91423
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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 for Provider-Performed Microscopy Procedures (PPMP) 05D0560868

Pediatric Associates Medical Group Inc · Sherman Oaks, CA
Active · expires Nov 11, 2027
CLIA Number05D0560868
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorDr. Ilona Kleiner
Laboratory Phone(818) 784-1102
Laboratory LocationPediatric Associates Medical Group Inc4330 Fulton Ave, Sherman Oaks, CA 91423
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

DR. ILONA KLEINER M.D.
Pediatrics
4330 FULTON AVE
SHERMAN OAKS, CA 91423
Los Angeles County (818) 784-1102
MIKAYEL ABRAMYAN M.D.
Pediatrics
4330 FULTON AVE
SHERMAN OAKS, CA 91423
Los Angeles County (818) 784-1102
MICHAEL LIN M.D.
Pediatrics
4330 FULTON AVE
SHERMAN OAKS, CA 91423
Los Angeles County (818) 784-1102
DR. MARIANNE CARRIE FINERMAN
Pediatrics (Adolescent Medicine)
4330 FULTON AVE
SHERMAN OAKS, CA 91423
Los Angeles County (818) 784-1102
DR. YOUNG-AE ANNE KWUN MD
Pediatrics
4330 FULTON AVE
SHERMAN OAKS, CA 91423
Los Angeles County (818) 784-1102
THOMAS A GLASSMAN M.D.
Pediatrics
4330 FULTON AVE
SHERMAN OAKS, CA 91423
Los Angeles County (818) 784-1102

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 Pediatric Associates Medical Group, Inc.'s NPI number?

The NPI number for Pediatric Associates Medical Group, Inc. is 1255366712. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Pediatric Associates Medical Group, Inc. located?

Pediatric Associates Medical Group, Inc. is located at 4330 Fulton Ave, Sherman Oaks, CA 91423. The listed phone number is (818) 784-1102.

What is Pediatric Associates Medical Group, Inc.'s specialty?

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

Does Pediatric Associates Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0560868) is associated with this NPI, valid through November 11, 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 Pediatric Associates Medical Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.