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NIKKEI PEDIATRIC MEDICAL GROUP INC
NPI 1316030968
Pediatrics - Adolescent Medicine in Los Angeles, CA

Active since October 02, 2006
420 E 3RD STREET, SUITE 803, LOS ANGELES, CA 90013(213) 617-7073(213) 617-3132 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nikkei Pediatric Medical Group Inc NPPES

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

NIKKEI PEDIATRIC MEDICAL GROUP INC (NPI 1316030968) is a healthcare organization registered as an adolescent medicine in Los Angeles, California and active in the NPI registry since October 2006. The organization lists George Etsuro Nakashima, President, as its authorized official.

NPPES Registry Identity

NPI1316030968
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameNIKKEI PEDIATRIC MEDICAL GROUP INC
Location Address420 E 3RD STREET, SUITE 803Los Angeles, CA 90013-1646
Mailing Address420 E 3rd Street, Suite 803Los Angeles, CA 90013-1646 · (213) 617-7073 · Fax (213) 617-3132
Phone(213) 617-7073
Fax(213) 617-3132
Organization SubpartNo
Authorized OfficialGeorge Etsuro NakashimaPresident · (213) 617-7073
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316030968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
420 E 3RD STREET, Los Angeles, CA 90013
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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 for Provider-Performed Microscopy Procedures (PPMP) 05D0541273

Nikkei Pediatric Medical Group · Los Angeles, CA
Expired · Aug 11, 2026
CLIA Number05D0541273
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorGeorge Nakashima
Laboratory Phone(213) 617-7073
Laboratory LocationNikkei Pediatric Medical Group1245 Wilshire Blvd, Ste 635, Los Angeles, CA 90017
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 4

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

DR. ROBIN CHIKAKO WAKABAYASHI DDS, MS
Dentist (Periodontics)
420 E 3RD STREET, STE 702
LOS ANGELES, CA 90013
Los Angeles County (213) 626-0561
MR. ANDRE LAMONT MILBURN CRNA
Nurse Anesthetist, Certified Registered
420 E 3RD STREET, SUITE 1005
LOS ANGELES, CA 90013
Los Angeles County (213) 935-8795
DR. GEORGE ETSURO NAKASHIMA MD
Pediatrics (Adolescent Medicine)
420 E 3RD STREET, SUITE 803
LOS ANGELES, CA 90013
Los Angeles County (213) 617-7073
ANESTHESIOLOGY AND NURSING SERVICES INC
Nurse Anesthetist, Certified Registered
420 E 3RD STREET, SUITE 1005
LOS ANGELES, CA 90013
Los Angeles County (213) 935-8795

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 Nikkei Pediatric Medical Group Inc's NPI number?

The NPI number for Nikkei Pediatric Medical Group Inc is 1316030968. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Nikkei Pediatric Medical Group Inc located?

Nikkei Pediatric Medical Group Inc is located at 420 E 3rd Street Suite 803, Los Angeles, CA 90013. The listed phone number is (213) 617-7073.

What is Nikkei Pediatric Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Nikkei Pediatric 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.