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TLC PEDIATRICS MEDICAL GROUP
NPI 1356303168
Specialist in San Juan Capistrano, CA

Active since April 05, 2006
30210 RANCHO VIEJO RD, SUITE A, SAN JUAN CAPISTRANO, CA 92675(949) 493-7337(949) 493-1418 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Tlc Pediatrics Medical Group NPPES

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

TLC PEDIATRICS MEDICAL GROUP (NPI 1356303168) is a healthcare organization registered as a specialist in San Juan Capistrano, California and active in the NPI registry since April 2006. The organization lists Josiane Suzanne Dagostino, Medical Manager, as its authorized official.

NPPES Registry Identity

NPI1356303168
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTLC PEDIATRICS MEDICAL GROUP
Location Address30210 RANCHO VIEJO RD, SUITE ASan Juan Capistrano, CA 92675-1574
Mailing Address30210 Rancho Viejo Rd, Suite ASan Juan Capistrano, CA 92675-1574 · (949) 493-7337 · Fax (949) 493-1418
Phone(949) 493-7337
Fax(949) 493-1418
Organization SubpartNo
Authorized OfficialJosiane Suzanne DagostinoMedical Manager · (949) 493-1383
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1356303168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
30210 RANCHO VIEJO RD, San Juan Capistrano, CA 92675
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Other Identifiers 1

MedicaidGR0081160CA

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

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.

MRS. COLLEEN MARIE BACON NP
Nurse Practitioner (Family)
30210 RANCHO VIEJO RD
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-7337
DOROTHY A TAGAN RN CPNP
Nurse Practitioner (Pediatrics)
30210 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-7337
JOHN H CARRUTH MD
Pediatrics
30210 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-7337
MS. JEANNE MARIE MCENTIRE NP
Nurse Practitioner (Pediatrics)
30210 RANCHO VIEJO RD
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-7337
LYDIA A CHAPELSKY MD
Pediatrics
30210 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-7337
DR. BRADFORD J. STAPH DDS
Dentist (General Practice)
30210 RANCHO VIEJO RD, SUITE B
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-8118

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 Tlc Pediatrics Medical Group's NPI number?

The NPI number for Tlc Pediatrics Medical Group is 1356303168. It was assigned to this organization in the NPPES registry on April 5, 2006.

Where is Tlc Pediatrics Medical Group located?

Tlc Pediatrics Medical Group is located at 30210 Rancho Viejo Rd Suite A, San Juan Capistrano, CA 92675. The listed phone number is (949) 493-7337.

What is Tlc Pediatrics Medical Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Tlc Pediatrics Medical Group was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.