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PEDIATRIC & ADULT MEDICINE, INC.
NPI 1437216926
Pediatrics in Tustin, CA

Active since January 03, 2007CLIA 05D0911357 · Waiver
13132 NEWPORT AVE STE 100, TUSTIN, CA 92780(714) 565-7960(714) 565-7982 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Pediatric & Adult Medicine, Inc. NPPES

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

PEDIATRIC & ADULT MEDICINE, INC. (NPI 1437216926) is a healthcare organization registered as a pediatrics in Tustin, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 1, 2027 and lists Dawn Lynn Bruner, President, as its authorized official.

NPPES Registry Identity

NPI1437216926
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC & ADULT MEDICINE, INC.
Location Address13132 NEWPORT AVE STE 100Tustin, CA 92780-3429
Mailing Address13132 Newport Ave Ste 100Tustin, CA 92780-3429 · (714) 565-7960 · Fax (714) 565-7982
Phone(714) 565-7960
Fax(714) 565-7982
Organization SubpartNo
Authorized OfficialDawn Lynn BrunerPresident · (714) 565-7960
Enumeration DateJanuary 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437216926 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.
13132 NEWPORT AVE STE 100, Tustin, CA 92780
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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

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 05D0911357

Pediatric & Adult Medicine Inc · Tustin, CA
Active · expires Jan 1, 2027
CLIA Number05D0911357
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorDaniel Mackey MD
Laboratory Phone(714) 565-7960
Laboratory LocationPediatric & Adult Medicine Inc18102 Irvine Blvd Ste 103, Tustin, CA 92780
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. CARLOS MARTINEZ M.D.
Pediatrics
13132 NEWPORT AVE STE 100
TUSTIN, CA 92780
Orange County (714) 565-7960

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 Pediatric & Adult Medicine, Inc.'s NPI number?

The NPI number for Pediatric & Adult Medicine, Inc. is 1437216926. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Pediatric & Adult Medicine, Inc. located?

Pediatric & Adult Medicine, Inc. is located at 13132 Newport Ave Ste 100, Tustin, CA 92780. The listed phone number is (714) 565-7960.

What is Pediatric & Adult Medicine, Inc.'s specialty?

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

Does Pediatric & Adult Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0911357) is associated with this NPI, valid through January 1, 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 Pediatric & Adult Medicine, Inc. 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.