SUNNYSIDE PEDIATRICS, LLC
NPI 1275940611
Clinic/Center - Primary Care in Salt Lake City, UT

Q: What is Sunnyside Pediatrics's NPI number?

The NPI number for Sunnyside Pediatrics is 1275940611. It was assigned to this organization in the NPPES registry on July 17, 2014. The provider is doing business as Sunnyside Pediatrics, LLC.

Q: What is Sunnyside Pediatrics's specialty?

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

Active since July 17, 2014CLIA 46D0693585 · Microscopy

1060 E 100 S, #400, SALT LAKE CITY, UT 84102(801) 521-2640(801) 363-6407 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sunnyside Pediatrics, Llc NPPES

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

SUNNYSIDE PEDIATRICS, LLC (NPI 1275940611) is a healthcare organization registered as a primary care in Salt Lake City, Utah and active in the NPI registry since July 2014. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Becky Sellers, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1275940611

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSUNNYSIDE PEDIATRICS

Location Address1060 E 100 S, #400Salt Lake City, UT 84102-1501

Mailing Address1060 E 100 S, #400Salt Lake City, UT 84102-1501 · (801) 521-2640 · Fax (801) 363-6407

Phone(801) 521-2640

Fax(801) 363-6407

Organization SubpartNo

Authorized OfficialBecky SellersPractice Administrator · (801) 526-8353

Enumeration DateJuly 17, 2014

✔ NPI 1275940611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1060 E 100 S, Salt Lake City, UT 84102

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Other Names 1

Doing Business AsSunnyside Pediatrics, Llc

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) 46D0693585

Sunnyside Pediatrics, LLC · Salt Lake City, UT

Active · expires Aug 31, 2026

CLIA Number46D0693585

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorSharon K. Schriewer

Laboratory Phone(801) 521-2640

Laboratory LocationSunnyside Pediatrics, LLC24 S 1100 E #301, Salt Lake City, UT 84102

CLIA data matches this NPI record on: 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 20

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

MEDICAL PLAZA PHARMACY, INC.

Pharmacy

1060 E 100 S, SUITE L-2
SALT LAKE CITY, UT 84102

Salt Lake County (801) 539-0231

CRAYTON ROSS WALKER D.D.S., M.D.

Dentist (Oral and Maxillofacial Pathology)

1060 E 100 S, 204
SALT LAKE CITY, UT 84102

Salt Lake County (801) 322-5423

GARCIA CLINICAL PSYCHOLOGY, LLC

Clinic/Center

1060 E 100 S, SUITE 100
SALT LAKE CITY, UT 84102

Salt Lake County (801) 410-0888

MRS. PHYLLIS KAREN MANDEL MD

Internal Medicine

1060 E 100 S, SUITE L10
SALT LAKE CITY, UT 84102

Salt Lake County (801) 328-1260

DR. SANDRA A. PHILLIPS M.D.

Pediatrics

1060 E 100 S, SUITE 400
SALT LAKE CITY, UT 84102

Salt Lake County (801) 355-4316

MR. FRED B RICHARDS LCSW

Social Worker (Clinical)

1060 E 100 S, SUITE 208
SALT LAKE CITY, UT 84102

Salt Lake County (801) 532-7414

WH-BM CONSULTANT LLC

Specialist

1060 E 100 S, L10
SALT LAKE CITY, UT 84102

Salt Lake County (801) 328-1260

DR. KEITH N. WARR D.D.S.

Dentist (General Practice)

1060 E 100 S, SUITE 201
SALT LAKE CITY, UT 84102

Salt Lake County (801) 355-5385

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 Sunnyside Pediatrics's NPI number?

The NPI number for Sunnyside Pediatrics is 1275940611. It was assigned to this organization in the NPPES registry on July 17, 2014. The provider is doing business as Sunnyside Pediatrics, LLC.

Where is Sunnyside Pediatrics located?

Sunnyside Pediatrics is located at 1060 E 100 S #400, Salt Lake City, UT 84102. The listed phone number is (801) 521-2640.

What is Sunnyside Pediatrics's specialty?

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

Does Sunnyside Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 46D0693585) is associated with this NPI, valid through August 31, 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 Sunnyside Pediatrics was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.