SOUTH EAST BAY PEDIATRIC MED GROUP
NPI 1427109297
Pediatrics in Fremont, CA

Active since January 16, 2007CLIA 05D0874937 · Microscopy
2191 MOWRY AVE, STE 600C, FREMONT, CA 94538(510) 792-4373(510) 792-3420 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South East Bay Pediatric Med Group NPPES

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

SOUTH EAST BAY PEDIATRIC MED GROUP (NPI 1427109297) is a healthcare organization registered as a pediatrics in Fremont, California and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through June 30, 2027 and lists Stephen Friedkin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427109297
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH EAST BAY PEDIATRIC MED GROUP
Location Address2191 MOWRY AVE, STE 600CFremont, CA 94538
Mailing Address2191 Mowry Ave, Ste 600cFremont, CA 94538 · (510) 792-4373 · Fax (510) 792-3420
Fax(510) 792-3420
Organization SubpartNo
Authorized OfficialStephen FriedkinCeo · (510) 792-4373
Enumeration DateJanuary 16, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1427109297 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.
2191 MOWRY AVE, Fremont, CA 94538

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0874937

South East Bay Pediatric Medical Group · Fremont, CA
Active · expires Jun 30, 2027
CLIA Number05D0874937
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorMarjorie Alpert
Laboratory Phone(510) 792-4373
Laboratory LocationSouth East Bay Pediatric Medical Group2191 Mowry Ave Ste 600C, Fremont, CA 94538
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

Nuclear Medicine
2191 MOWRY AVE, SUITE 500-H
FREMONT, CA 94538
Optometrist (Corneal and Contact Management)
2191 MOWRY AVE, SUITE 500-F
FREMONT, CA 94538
Pediatrics
2191 MOWRY AVE, 600C
FREMONT, CA 94538
Pediatrics
2191 MOWRY AVE, 600C
FREMONT, CA 94538
Pediatrics
2191 MOWRY AVE, STE 600C
FREMONT, CA 94538
Pediatrics
2191 MOWRY AVE, SUITE 600 C
FREMONT, CA 94538
Nuclear Medicine
2191 MOWRY AVE, SUITE 500 H
FREMONT, CA 94538
Pediatrics
2191 MOWRY AVE, SUITE 600 C
FREMONT, CA 94538

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 East Bay Pediatric Med Group's NPI number?

The NPI number for South East Bay Pediatric Med Group is 1427109297. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is South East Bay Pediatric Med Group located?

South East Bay Pediatric Med Group is located at 2191 Mowry Ave Ste 600C, Fremont, CA 94538. The listed phone number is (510) 792-4373.

What is South East Bay Pediatric Med Group's specialty?

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

Does South East Bay Pediatric Med Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0874937) is associated with this NPI, valid through June 30, 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 South East Bay Pediatric Med Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.