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PEDIATRIC MEDICAL GROUP OF SAN FRANCISCO INC
NPI 1477666352
Legal Medicine in Daly City, CA

Active since August 16, 2006CLIA 05D0973919 · Waiver
901 CAMPUS DR, SUITE 207, DALY CITY, CA 94015(415) 242-5433(415) 242-8904 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Medical Group Of San Francisco Inc NPPES

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

PEDIATRIC MEDICAL GROUP OF SAN FRANCISCO INC (NPI 1477666352), doing business as The Pediatric Medical Group Of San Francisco, is a healthcare organization registered as a legal medicine in Daly City, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Mary Ann Santos Fernandez, President, as its authorized official.

NPPES Registry Identity

NPI1477666352
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NamePEDIATRIC MEDICAL GROUP OF SAN FRANCISCO INC
Location Address901 CAMPUS DR, SUITE 207Daly City, CA 94015-4900
Mailing Address901 Campus Dr, Suite 207Daly City, CA 94015-4900 · (415) 242-5433 · Fax (415) 242-8904
Phone(415) 242-5433
Fax(415) 242-8904
Organization SubpartNo
Authorized OfficialMary Ann Santos FernandezPresident · (415) 242-5433
Enumeration DateAugust 16, 2006
Last NPPES UpdateNovember 30, 2016
✔ NPI 1477666352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in CA · C3896319
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
901 CAMPUS DR, Daly City, CA 94015
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Other Names 1

Former Legal Business NameThe Pediatric Medical Group Of San Francisco

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 05D0973919

Pediatric Medical Group Of San Francisco, Inc · Daly City, CA
Active · expires May 22, 2028
CLIA Number05D0973919
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorMary Ann S. Fernandez MD
Laboratory Phone(415) 242-5433
Laboratory LocationPediatric Medical Group Of San Francisco, Inc901 Campus Dr Ste 207, Daly City, CA 94015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

PEDIAHEALTH MEDICAL GROUP, INC.
Clinic/Center
901 CAMPUS DR, SUITE 210
DALY CITY, CA 94015
San Mateo County (650) 994-3000
DR. CAMILLE S CORVERA D.M.D.
Dentist (General Practice)
901 CAMPUS DR, SUITE 201
DALY CITY, CA 94015
San Mateo County (650) 991-7055
HELENE MICHELLE OMANSKY LCSW
Social Worker (Clinical)
901 CAMPUS DR
DALY CITY, CA 94015
San Mateo County (650) 652-8720
OFELIA OFRECIO MARISTELA M.D.
Pediatrics
901 CAMPUS DR, SUITE 210
DALY CITY, CA 94015
San Mateo County (650) 994-3000
SONIA CATALINA ZARATE-NAVARRO M.D.
Obstetrics & Gynecology
901 CAMPUS DR, SUITE 313
DALY CITY, CA 94015
San Mateo County (650) 994-1113
LISA LAM MD
Family Medicine
901 CAMPUS DR
DALY CITY, CA 94015
San Mateo County (650) 652-8500
DR. SCOTT K MOCK D.D.S., M.P.H.
Dentist (General Practice)
901 CAMPUS DR, SUITE 307
DALY CITY, CA 94015
San Mateo County (650) 991-1988
JANICE W GILLESS MD
Pediatrics
901 CAMPUS DR
DALY CITY, CA 94015
San Mateo County (650) 652-8720

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 Medical Group Of San Francisco Inc's NPI number?

The NPI number for Pediatric Medical Group Of San Francisco Inc is 1477666352. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider was formerly known as The Pediatric Medical Group Of San Francisco.

Where is Pediatric Medical Group Of San Francisco Inc located?

Pediatric Medical Group Of San Francisco Inc is located at 901 Campus Dr Suite 207, Daly City, CA 94015. The listed phone number is (415) 242-5433.

What is Pediatric Medical Group Of San Francisco Inc's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Does Pediatric Medical Group Of San Francisco Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0973919) is associated with this NPI, valid through May 22, 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 Pediatric Medical Group Of San Francisco Inc was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.