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COAST PEDIATRICS CARMEL VALLEY
NPI 1427434679
Pediatrics in San Diego, CA

Active since August 10, 2015CLIA 05D2104041 · Waiver
5965 VILLAGE DRIVE, SUITE 201, SAN DIEGO, CA 92130(858) 755-7337(858) 755-7338 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coast Pediatrics Carmel Valley NPPES

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

COAST PEDIATRICS CARMEL VALLEY (NPI 1427434679) is a healthcare organization registered as a pediatrics in San Diego, California and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Kelly Ann Conley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1427434679
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOAST PEDIATRICS CARMEL VALLEY
Location Address5965 VILLAGE DRIVE, SUITE 201San Diego, CA 92130
Mailing Address5965 Village Drive, Suite 201San Diego, CA 92130 · (858) 755-7337 · Fax (858) 755-7338
Phone(858) 755-7337
Fax(858) 755-7338
Organization SubpartNo
Authorized OfficialKelly Ann ConleyOffice Manager · (858) 794-7337
Enumeration DateAugust 10, 2015
✔ NPI 1427434679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A55826
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.
5965 VILLAGE DRIVE, SUITE 201, San Diego, CA 92130
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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 2

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 05D2104041

Coast Pediatrics Carmel Valley · San Diego, CA
Active · expires Oct 25, 2027
CLIA Number05D2104041
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorLori Taylor
Laboratory Phone(858) 755-7337
Laboratory LocationCoast Pediatrics Carmel Valley5965 Village Way Ste 201, San Diego, CA 92130
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2045273

Coast Pediatrics Del Mar · Del Mar, CA
Expired · Aug 8, 2026
CLIA Number05D2045273
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorLori B. Taylor
Laboratory Phone(858) 794-7337
Laboratory LocationCoast Pediatrics Del Mar12845 Pointe Del Mar Way, Suite 200, Del Mar, CA 92014
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Coast Pediatrics Carmel Valley's NPI number?

The NPI number for Coast Pediatrics Carmel Valley is 1427434679. It was assigned to this organization in the NPPES registry on August 10, 2015.

Where is Coast Pediatrics Carmel Valley located?

Coast Pediatrics Carmel Valley is located at 5965 Village Drive, Suite 201, San Diego, CA 92130. The listed phone number is (858) 755-7337.

What is Coast Pediatrics Carmel Valley's specialty?

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

Does Coast Pediatrics Carmel Valley hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2104041) is associated with this NPI, valid through October 25, 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 Coast Pediatrics Carmel Valley was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.