VALLE VERDE PEDIATRICS MEDICAL GROUP
NPI 1326131079
Pediatrics in Poway, CA

Active since October 02, 2006CLIA 05D0568350 · Waiver
15525 POMERADO ROAD, #B1, POWAY, CA 92064(858) 487-8333(858) 487-0856 Get Directions Write a Review

NPPES record last updated: January 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Valle Verde Pediatrics Medical Group NPPES

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

VALLE VERDE PEDIATRICS MEDICAL GROUP (NPI 1326131079) is a healthcare organization registered as a pediatrics in Poway, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 20, 2027 and lists Nathan Rendler, President, as its authorized official.

NPPES Registry Identity

NPI1326131079
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameVALLE VERDE PEDIATRICS MEDICAL GROUP
Location Address15525 POMERADO ROAD, #B1Poway, CA 92064-2465
Mailing Address15525 Pomerado Road, #b1Poway, CA 92064-2465 · (858) 487-8333 · Fax (858) 487-0856
Fax(858) 487-0856
Organization SubpartNo
Authorized OfficialNathan RendlerPresident · (858) 487-8333
Enumeration DateOctober 2, 2006
Last NPPES UpdateJanuary 28, 2011
NPI 1326131079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · FNP18257
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedSpecialistTaxonomy 174400000X · License 00G642310 (CA)
15525 POMERADO ROAD, Poway, CA 92064

Other Identifiers 1

Medicaid1326131079CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D0568350

Valle Verde Pediatrics Inc · Poway, CA
Active · expires May 20, 2027
CLIA Number05D0568350
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorDr. Kuangkai Tai
Laboratory Phone(714) 842-0444
Laboratory LocationValle Verde Pediatrics Inc15525 Pomerado Rd Ste B-1, Poway, CA 92064
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only 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.

Dentist
15525 POMERADO ROAD, SUITE C6
POWAY, CA 92064
Pediatrics
15525 POMERADO ROAD, SUITE B-1
POWAY, CA 92064
Pediatrics
15525 POMERADO ROAD, SUITE B-1
POWAY, CA 92064
Psychiatry & Neurology (Psychiatry)
15525 POMERADO ROAD, SUITE E3
POWAY, CA 92064
Psychologist (Clinical)
15525 POMERADO ROAD, SUITE E3
POWAY, CA 92064
Orthopaedic Surgery
15525 POMERADO ROAD, SUITE E-6
POWAY, CA 92064

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 Valle Verde Pediatrics Medical Group's NPI number?

The NPI number for Valle Verde Pediatrics Medical Group is 1326131079. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Valle Verde Pediatrics Medical Group located?

Valle Verde Pediatrics Medical Group is located at 15525 Pomerado Road #b1, Poway, CA 92064. The listed phone number is (858) 487-8333.

What is Valle Verde Pediatrics Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Valle Verde Pediatrics Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0568350) is associated with this NPI, valid through May 20, 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 Valle Verde Pediatrics Medical Group was last updated on January 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.