PEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC
NPI 1356541429
Pediatrics - Pediatric Cardiology in San Bernardino, CA

Q: What is Pediatric Cardiology Specialists Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since July 18, 2007CLIA 05D2136280 · Waiver

350 E VANDERBILT WAY STE A, SAN BERNARDINO, CA 92408(909) 886-5200(949) 336-3827 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Cardiology Specialists Medical Group Inc NPPES

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

PEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC (NPI 1356541429) is a healthcare organization registered as a pediatric cardiology in San Bernardino, California and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Mohammad Kanakriyeh, President, as its authorized official.

NPPES Registry Identity

NPI1356541429

Entity TypeOrganization

Primary Taxonomy2080P0202X

Legal Business NamePEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC

Location Address350 E VANDERBILT WAY STE ASan Bernardino, CA 92408-3593

Mailing Address350 E Vanderbilt Way Ste ASan Bernardino, CA 92408-3593 · (909) 886-5200 · Fax (949) 336-3827

Phone(909) 886-5200

Fax(949) 336-3827

Organization SubpartNo

Authorized OfficialMohammad KanakriyehPresident · (909) 886-5200

Enumeration DateJuly 18, 2007

Last NPPES UpdateFebruary 10, 2026

NPPES CertifiedFebruary 10, 2026

✔ NPI 1356541429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in CA · 00A425260

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

350 E VANDERBILT WAY STE A, San Bernardino, CA 92408

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Other Names 1

Other NameMohammad Kanakriyeh, Md

Other Identifiers 1

Medicaid1356541429CA

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 05D2136280

Pediatric Cardiology Specialists · San Bernardino, CA

Active · expires Sep 5, 2027

CLIA Number05D2136280

Laboratory TypePractitioner Other

Certificate Effective DateSeptember 6, 2025

Certificate Expiration DateSeptember 5, 2027

Laboratory DirectorMohammad Kanakriyeh

Laboratory Phone(909) 886-5200

Laboratory LocationPediatric Cardiology Specialists350 E Vanerbilt Avenue, San Bernardino, CA 92408

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

HANI S GHAWI MD

Pediatrics (Pediatric Cardiology)

350 E VANDERBILT WAY STE A
SAN BERNARDINO, CA 92408

San Bernardino County (909) 886-5200

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 Pediatric Cardiology Specialists Medical Group Inc's NPI number?

The NPI number for Pediatric Cardiology Specialists Medical Group Inc is 1356541429. It was assigned to this organization in the NPPES registry on July 18, 2007. The provider is also known as Mohammad Kanakriyeh, MD.

Where is Pediatric Cardiology Specialists Medical Group Inc located?

Pediatric Cardiology Specialists Medical Group Inc is located at 350 E Vanderbilt Way Ste A, San Bernardino, CA 92408. The listed phone number is (909) 886-5200.

What is Pediatric Cardiology Specialists Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Does Pediatric Cardiology Specialists Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2136280) is associated with this NPI, valid through September 5, 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 Pediatric Cardiology Specialists Medical Group Inc was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.