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SIERRA PACIFIC PEDIATRIC ASSOCIATES
NPI 1457544454
Pediatrics in Fontana, CA

Active since August 22, 2007CLIA 05D1054741 · Waiver
16465 SIERRA LAKES PKWY STE 245, FONTANA, CA 92336(909) 829-7337(909) 829-1218 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sierra Pacific Pediatric Associates NPPES

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

SIERRA PACIFIC PEDIATRIC ASSOCIATES (NPI 1457544454) is a healthcare organization registered as a pediatrics in Fontana, California and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through May 29, 2028 and lists Richard Chang, Md, as its authorized official.

NPPES Registry Identity

NPI1457544454
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSIERRA PACIFIC PEDIATRIC ASSOCIATES
Location Address16465 SIERRA LAKES PKWY STE 245Fontana, CA 92336-1242
Mailing Address16465 Sierra Lakes Pkwy Ste 245Fontana, CA 92336-1242 · (909) 829-7337 · Fax (909) 829-1218
Phone(909) 829-7337
Fax(909) 829-1218
Organization SubpartNo
Authorized OfficialRichard ChangMd · (909) 829-7337
Enumeration DateAugust 22, 2007
Last NPPES UpdateJuly 10, 2008
✔ NPI 1457544454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A86339
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.
16465 SIERRA LAKES PKWY STE 245, Fontana, CA 92336
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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 05D1054741

Sierra Pacific Pediatric Assts-Fontana · Fontana, CA
Active · expires May 29, 2028
CLIA Number05D1054741
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorRichard C. Chang
Laboratory Phone(909) 829-7337
Laboratory LocationSierra Pacific Pediatric Assts-Fontana16465 Sierra Lakes Pkwy Ste 250, Fontana, CA 92336
CLIA data matches this NPI record on: 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. RAGU SIVARAJAN D.O,.
Internal Medicine
16465 SIERRA LAKES PKWY STE 245
FONTANA, CA 92336
San Bernardino County (909) 330-3939

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 Sierra Pacific Pediatric Associates's NPI number?

The NPI number for Sierra Pacific Pediatric Associates is 1457544454. It was assigned to this organization in the NPPES registry on August 22, 2007.

Where is Sierra Pacific Pediatric Associates located?

Sierra Pacific Pediatric Associates is located at 16465 Sierra Lakes Pkwy Ste 245, Fontana, CA 92336. The listed phone number is (909) 829-7337.

What is Sierra Pacific Pediatric Associates's specialty?

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

Does Sierra Pacific Pediatric Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1054741) is associated with this NPI, valid through May 29, 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 Sierra Pacific Pediatric Associates was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.