SOUTH COUNTY PEDIATRIC MEDICAL GROUP
NPI 1366586356
Pediatrics in Hayward, CA

Active since February 16, 2007
680 W TENNYSON RD, HAYWARD, CA 94544(510) 782-4470 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South County Pediatric Medical Group NPPES

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

SOUTH COUNTY PEDIATRIC MEDICAL GROUP (NPI 1366586356) is a healthcare organization registered as a pediatrics in Hayward, California and active in the NPI registry since February 2007. The organization lists Tomas A Magana, Director, as its authorized official.

NPPES Registry Identity

NPI1366586356
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH COUNTY PEDIATRIC MEDICAL GROUP
Location Address680 W TENNYSON RDHayward, CA 94544-5236
Mailing Address5528 Pacheco Blvd, Ste APacheco, CA 94553-5126 · (925) 363-8170
Organization SubpartNo
Authorized OfficialTomas A MaganaDirector · (510) 782-4470
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJune 30, 2008
NPI 1366586356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
680 W TENNYSON RD, Hayward, CA 94544

Other Identifiers 1

MedicaidGR0102930CA

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 9

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

Dentist (Pediatric Dentistry)
680 W TENNYSON RD
HAYWARD, CA 94544
Registered Nurse (Pediatrics)
680 W TENNYSON RD
HAYWARD, CA 94544
Case Manager/Care Coordinator
680 W TENNYSON RD
HAYWARD, CA 94544
Dentist (Pediatric Dentistry)
680 W TENNYSON RD
HAYWARD, CA 94544
Social Worker (Clinical)
680 W TENNYSON RD
HAYWARD, CA 94544
Community/Behavioral Health
680 W TENNYSON RD
HAYWARD, CA 94544
Dentist (Pediatric Dentistry)
680 W TENNYSON RD
HAYWARD, CA 94544
Dentist (Pediatric Dentistry)
680 W TENNYSON RD
HAYWARD, CA 94544

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 South County Pediatric Medical Group's NPI number?

The NPI number for South County Pediatric Medical Group is 1366586356. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is South County Pediatric Medical Group located?

South County Pediatric Medical Group is located at 680 W Tennyson Rd, Hayward, CA 94544. The listed phone number is (510) 782-4470.

What is South County Pediatric Medical Group's specialty?

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

When was this NPI record last updated?

The NPPES record for South County Pediatric Medical Group was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.