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LAND PARK PEDIATRIC MEDICAL GROUP
NPI 1487018990
Pediatrics in Sacramento, CA

Active since April 11, 2016
4617 FREEPORT BLVD STE B, SACRAMENTO, CA 95822(916) 422-7273(916) 422-2127 Get Directions Write a Review

NPPES record last updated: April 11, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Land Park Pediatric Medical Group NPPES

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

LAND PARK PEDIATRIC MEDICAL GROUP (NPI 1487018990) is a healthcare organization registered as a pediatrics in Sacramento, California and active in the NPI registry since April 2016. The organization lists Ravinder Singh Khaira, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1487018990
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLAND PARK PEDIATRIC MEDICAL GROUP
Location Address4617 FREEPORT BLVD STE BSacramento, CA 95822-2015
Mailing Address4617 Freeport Blvd Ste BSacramento, CA 95822-2015 · (916) 422-7273 · Fax (916) 422-2127
Phone(916) 422-7273
Fax(916) 422-2127
Organization SubpartNo
Authorized OfficialRavinder Singh KhairaPhysician/owner · (916) 422-7273
Enumeration DateApril 11, 2016
✔ NPI 1487018990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A56390
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.

4617 FREEPORT BLVD STE B, Sacramento, CA 95822
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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 05D0616055

Pediatric Medical Associates Dba Land Park Pediatric Med Group · Sacramento, CA
Expired · Mar 27, 2026
CLIA Number05D0616055
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2024
Certificate Expiration DateMarch 27, 2026
Laboratory DirectorRavinder S. Khaira
Laboratory Phone(916) 924-9337
Laboratory LocationPediatric Medical Associates Dba Land Park Pediatric Med Group4617 Freeport Blvd Ste B, Sacramento, CA 95822
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

RAVINDER SINGH KHAIRA MD
Pediatrics
4617 FREEPORT BLVD STE B
SACRAMENTO, CA 95822
Sacramento County (916) 422-7273
ALLISON EMIKO IWAMOTO FNP-C, RN
Family Medicine
4617 FREEPORT BLVD STE B
SACRAMENTO, CA 95822
Sacramento County (916) 422-7273

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 Land Park Pediatric Medical Group's NPI number?

The NPI number for Land Park Pediatric Medical Group is 1487018990. It was assigned to this organization in the NPPES registry on April 11, 2016.

Where is Land Park Pediatric Medical Group located?

Land Park Pediatric Medical Group is located at 4617 Freeport Blvd Ste B, Sacramento, CA 95822. The listed phone number is (916) 422-7273.

What is Land Park Pediatric Medical Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Land Park Pediatric Medical Group was last updated on April 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.