PID ASSOCIATES MEDICAL GROUP INC
NPI 1386748614
Pediatrics - Pediatric Infectious Diseases in Long Beach, CA

Active since September 08, 2006
2801 ATLANTIC AVE, LONG BEACH, CA 90806(562) 933-8590(562) 933-8093 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 12, 2019, Dec 11, 2018 (2 updates tracked since 2018).

About Pid Associates Medical Group Inc NPPES

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

PID ASSOCIATES MEDICAL GROUP INC (NPI 1386748614) is a healthcare organization registered as a pediatric infectious diseases in Long Beach, California and active in the NPI registry since September 2006. The organization lists Audra Deveikis, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1386748614
Entity TypeOrganization
Primary Taxonomy2080P0208X
Legal Business NamePID ASSOCIATES MEDICAL GROUP INC
Location Address2801 ATLANTIC AVELong Beach, CA 90806-1701
Mailing Address1536 W 25th St, Pmb 163San Pedro, CA 90732-4415 · (562) 933-8590 · Fax (562) 933-8093
Fax(562) 933-8093
Organization SubpartNo
Authorized OfficialAudra DeveikisMedical Director · (562) 933-8590
Enumeration DateSeptember 8, 2006
Last NPPES UpdateFebruary 12, 20192 updates tracked since enumeration
✔ NPI 1386748614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in CA · A40896
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
2801 ATLANTIC AVE, Long Beach, CA 90806

Other Identifiers 2

OtherCGP144665CA · Ccs/chp Number
MedicaidGR0041670CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pid Associates Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pid Associates Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Infectious Disease
NPI 1558461327
2801 ATLANTIC AVE
Long Beach, CA 90806
(562) 933-8590
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pid Associates Medical Group Inc's NPI number?

The NPI number for Pid Associates Medical Group Inc is 1386748614. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is Pid Associates Medical Group Inc located?

Pid Associates Medical Group Inc is located at 2801 Atlantic Ave, Long Beach, CA 90806. The listed phone number is (562) 933-8590.

What is Pid Associates Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Pid Associates Medical Group Inc enrolled in Medicare?

Yes. Pid Associates Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pid Associates Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Pid Associates Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pid Associates Medical Group Inc was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.