PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY
NPI 1275545642
Specialist in Garden Grove, CA

Active since August 13, 2006CLIA 05D1070068 · Waiver
12555 GARDEN GROVE BLVD, SUITE 206, GARDEN GROVE, CA 92843(714) 537-6595(714) 537-2176 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatrics & Neonatology Medical Group Of Orange County NPPES

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

PEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY (NPI 1275545642) is a healthcare organization registered as a specialist in Garden Grove, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Jill Cresap, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1275545642
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY
Location Address12555 GARDEN GROVE BLVD, SUITE 206Garden Grove, CA 92843-1902
Mailing Address12555 Garden Grove Blvd, Suite 206Garden Grove, CA 92843-1902 · (714) 537-6595 · Fax (714) 537-2176
Fax(714) 537-2176
Organization SubpartNo
Authorized OfficialJill CresapDirector Of Operations · (714) 537-6595
Enumeration DateAugust 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1275545642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A44664
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12555 GARDEN GROVE BLVD, Garden Grove, CA 92843

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 05D1070068

Pediatrics & Neonatology Medical Group Of Orange County Inc · Garden Grove, CA
Active · expires Jun 19, 2027
CLIA Number05D1070068
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorJacob Sweidan MD
Laboratory Phone(714) 537-7500
Laboratory LocationPediatrics & Neonatology Medical Group Of Orange County Inc12665 Garden Grove Blvd # 713, Garden Grove, CA 92843
CLIA data matches this NPI record on: Name
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.

Surgery (Vascular Surgery)
12555 GARDEN GROVE BLVD, SUITE 403
GARDEN GROVE, CA 92843
Internal Medicine (Infectious Disease)
12555 GARDEN GROVE BLVD, #405
GARDEN GROVE, CA 92843
Pediatrics
12555 GARDEN GROVE BLVD, SUITE 404
GARDEN GROVE, CA 92843
Specialist
12555 GARDEN GROVE BLVD, SUITE 302
GARDEN GROVE, CA 92843
Internal Medicine (Infectious Disease)
12555 GARDEN GROVE BLVD, STE 405
GARDEN GROVE, CA 92843
Physician Assistant
12555 GARDEN GROVE BLVD, #206
GARDEN GROVE, CA 92843
Clinic/Center
12555 GARDEN GROVE BLVD, #404
GARDEN GROVE, CA 92843
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
12555 GARDEN GROVE BLVD, SUITE 100
GARDEN GROVE, CA 92843

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 Pediatrics & Neonatology Medical Group Of Orange County's NPI number?

The NPI number for Pediatrics & Neonatology Medical Group Of Orange County is 1275545642. It was assigned to this organization in the NPPES registry on August 13, 2006.

Where is Pediatrics & Neonatology Medical Group Of Orange County located?

Pediatrics & Neonatology Medical Group Of Orange County is located at 12555 Garden Grove Blvd Suite 206, Garden Grove, CA 92843. The listed phone number is (714) 537-6595.

What is Pediatrics & Neonatology Medical Group Of Orange County's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Pediatrics & Neonatology Medical Group Of Orange County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1070068) is associated with this NPI, valid through June 19, 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 Pediatrics & Neonatology Medical Group Of Orange County 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.