1. Home
  2. Directory
  3. California
  4. San Diego
  5. Pediatrics
  6. NPI Profile

UCSD PEDIATRIC ASSOCIATES
NPI 1427259597
Pediatrics - Adolescent Medicine in San Diego, CA

Active since May 29, 2007CLIA 05D1065788 · Waiver
3860 CALLE FORTUNADA, STE 200, SAN DIEGO, CA 92123(858) 636-4300(858) 636-4319 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Ucsd Pediatric Associates NPPES

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

UCSD PEDIATRIC ASSOCIATES (NPI 1427259597) is a healthcare organization registered as an adolescent medicine in San Diego, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Bretten Pickering, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1427259597
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameUCSD PEDIATRIC ASSOCIATES
Location Address3860 CALLE FORTUNADA, STE 200San Diego, CA 92123-4800
Mailing Address7910 Frost St, Ste 350San Diego, CA 92123-2771
Phone(858) 636-4300
Fax(858) 636-4319
Organization SubpartNo
Authorized OfficialBretten PickeringMedical Director · (858) 636-4300
Enumeration DateMay 29, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1427259597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X
3860 CALLE FORTUNADA, San Diego, CA 92123
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D1065788

Ucsd Pediatric Associates · San Diego, CA
Active · expires Jan 23, 2028
CLIA Number05D1065788
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorLeah Kern
Laboratory Phone(858) 502-1101
Laboratory LocationUcsd Pediatric Associates7910 Frost St Ste 350, San Diego, CA 92123
CLIA data matches this NPI record on: Address Name
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.

DIANE STRADER NP
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
San Diego County (858) 636-4300
SHARON JACOB-SOO MD
Dermatology
3860 CALLE FORTUNADA, STE #210
SAN DIEGO, CA 92123
San Diego County (858) 309-6303
DORY CLARK NP
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
San Diego County (858) 636-4300
COLETTE L. GRANT MD
Pediatrics
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
San Diego County (858) 636-4300
JENNIFER DZIURA NP
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
San Diego County (858) 636-4300
SHARON STRONG KIM M.D.
Pediatrics
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
San Diego County (858) 636-4300
JAMIE LYNNE GILLEY NP
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 210
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
DEBORAH MILLS CPNP
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
San Diego County (858) 636-4300

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 Ucsd Pediatric Associates's NPI number?

The NPI number for Ucsd Pediatric Associates is 1427259597. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Ucsd Pediatric Associates located?

Ucsd Pediatric Associates is located at 3860 Calle Fortunada Ste 200, San Diego, CA 92123. The listed phone number is (858) 636-4300.

What is Ucsd Pediatric Associates's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Ucsd Pediatric Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1065788) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ucsd Pediatric Associates was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.