CENTRAL PEDIATRICS MEDICAL GROUP
NPI 1396777843
Pediatrics in Chino, CA

Active since July 07, 2006CLIA 05D0930994 · Waiver
12598 CENTRAL AVE, SUITE A, CHINO, CA 91710(909) 364-1234(909) 364-1227 Get Directions Write a Review

NPPES record last updated: February 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Pediatrics Medical Group NPPES

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

CENTRAL PEDIATRICS MEDICAL GROUP (NPI 1396777843) is a healthcare organization registered as a pediatrics in Chino, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Carolyne Tan Lim, Owner, as its authorized official.

NPPES Registry Identity

NPI1396777843
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCENTRAL PEDIATRICS MEDICAL GROUP
Location Address12598 CENTRAL AVE, SUITE AChino, CA 91710
Mailing Address529 W Le Roy AveArcadia, CA 91007-7335 · (626) 446-7858
Fax(909) 364-1227
Organization SubpartNo
Authorized OfficialCarolyne Tan LimOwner · (909) 364-1234
Enumeration DateJuly 7, 2006
Last NPPES UpdateFebruary 18, 2011
NPI 1396777843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A55951
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.
12598 CENTRAL AVE, Chino, CA 91710

Other Identifiers 1

MedicaidGR0079780CA

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 05D0930994

Central Pediatrics Medical Group · Chino, CA
Active · expires Jul 20, 2027
CLIA Number05D0930994
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorCarolyne T. Lim, MD
Laboratory Phone(909) 364-1234
Laboratory LocationCentral Pediatrics Medical Group12598 Central Avenue, Suite A, Chino, CA 91710
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Orthopaedic Surgery
12598 CENTRAL AVE, SUITE 119
CHINO, CA 91710
Pediatrics
12598 CENTRAL AVE, SUITE A
CHINO, CA 91710
Specialist
12598 CENTRAL AVE, SUITE 109
CHINO, CA 91710
Marriage & Family Therapist
12598 CENTRAL AVE
CHINO, CA 91710
Marriage & Family Therapist
12598 CENTRAL AVE, SUITE 110
CHINO, CA 91710
Hospice Care, Community Based
12598 CENTRAL AVE, SUITE 215
CHINO, CA 91710
Internal Medicine (Gastroenterology)
12598 CENTRAL AVE, SUITE 101
CHINO, CA 91710
Specialist
12598 CENTRAL AVE, SUITE 109
CHINO, CA 91710

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 Central Pediatrics Medical Group's NPI number?

The NPI number for Central Pediatrics Medical Group is 1396777843. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Central Pediatrics Medical Group located?

Central Pediatrics Medical Group is located at 12598 Central Ave Suite A, Chino, CA 91710. The listed phone number is (909) 364-1234.

What is Central Pediatrics Medical Group's specialty?

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

Does Central Pediatrics Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0930994) is associated with this NPI, valid through July 20, 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 Central Pediatrics Medical Group was last updated on February 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.