PACIFIC PEDIATRICS MED GRP INC
NPI 1366539884
Pediatrics in San Francisco, CA

Active since October 06, 2006CLIA Certified · 2 labs
45 CASTRO STREET, SUITE 232, SAN FRANCISCO, CA 94114(415) 565-6810(415) 565-6844 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pacific Pediatrics Med Grp Inc NPPES

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

PACIFIC PEDIATRICS MED GRP INC (NPI 1366539884) is a healthcare organization registered as a pediatrics in San Francisco, California and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists William Bernard Solomon, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1366539884
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePACIFIC PEDIATRICS MED GRP INC
Location Address45 CASTRO STREET, SUITE 232San Francisco, CA 94114
Mailing Address45 Castro Street, Suite 232San Francisco, CA 94114 · (415) 565-6874 · Fax (415) 565-6844
Fax(415) 565-6844
Organization SubpartNo
Authorized OfficialWilliam Bernard SolomonTreasurer · (415) 565-6810
Enumeration DateOctober 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1366539884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · 207731
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.

45 CASTRO STREET, San Francisco, CA 94114

Other Identifiers 1

MedicaidGR0026450CA

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 2

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 05D0594731

Pacific Pediatrics Medical Group Inc · San Francisco, CA
Active · expires Aug 31, 2026
CLIA Number05D0594731
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBarry R. Rostek , Do
Laboratory Phone(415) 565-6810
Laboratory LocationPacific Pediatrics Medical Group Inc45 Castro Street Suite 232, San Francisco, CA 94114
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2019684

Pacific Pediatrics Medical Group Inc · San Francisco, CA
Active · expires Sep 25, 2027
CLIA Number05D2019684
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorDr. Barry R. Rostek
Laboratory Phone(415) 565-6810
Laboratory LocationPacific Pediatrics Medical Group Inc2100 Webster Street, Suite 427, San Francisco, CA 94115
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Internal Medicine
45 CASTRO STREET, SUITE 138
SAN FRANCISCO, CA 94114
Internal Medicine (Adolescent Medicine)
45 CASTRO STREET, SUITE 138
SAN FRANCISCO, CA 94114
Pediatrics
45 CASTRO STREET, SUITE 232
SAN FRANCISCO, CA 94114
Pediatrics
45 CASTRO STREET, SUITE 232
SAN FRANCISCO, CA 94114
Optometrist
45 CASTRO STREET, SUITE 318
SAN FRANCISCO, CA 94114
Psychiatric Unit
45 CASTRO STREET
SAN FRANCISCO, CA 94114
Skilled Nursing Facility
45 CASTRO STREET
SAN FRANCISCO, CA 94114
General Acute Care Hospital
45 CASTRO STREET
SAN FRANCISCO, CA 94114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366539884, enumerated as an "organization" on October 06, 2006.

The provider is located at 45 CASTRO STREET SUITE 232 SAN FRANCISCO, CA 94114 and the phone number is (415) 565-6810.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.