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DR. SALLY PEDIATRICS
NPI 1558041590
Pediatrics in Ventura, CA

Active since July 24, 2023CLIA 05D2290203 · Waiver
3454 LOMA VISTA RD, VENTURA, CA 93003(805) 918-1876 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sally Pediatrics NPPES

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

DR. SALLY PEDIATRICS (NPI 1558041590) is a healthcare organization registered as a pediatrics in Ventura, California and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Sally J Smith, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1558041590
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDR. SALLY PEDIATRICS
Location Address3454 LOMA VISTA RDVentura, CA 93003-3026
Mailing Address25 Via MagnoliaNewbury Park, CA 91320-6966 · (805) 217-5644
Phone(805) 918-1876
Organization SubpartNo
Authorized OfficialSally J SmithOwner/ President · (805) 918-1876
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
✔ NPI 1558041590 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.
3454 LOMA VISTA RD, Ventura, CA 93003
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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 05D2290203

Dr. Sally Pediatrics · Ventura, CA
Active · expires Sep 20, 2027
CLIA Number05D2290203
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorSally Smith
Laboratory Phone(805) 217-5644
Laboratory LocationDr. Sally Pediatrics3454 Loma Vista Rd, Ventura, CA 93003
CLIA data matches this NPI record on: Address Name 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 Dr. Sally Pediatrics's NPI number?

The NPI number for Dr. Sally Pediatrics is 1558041590. It was assigned to this organization in the NPPES registry on July 24, 2023.

Where is Dr. Sally Pediatrics located?

Dr. Sally Pediatrics is located at 3454 Loma Vista Rd, Ventura, CA 93003. The listed phone number is (805) 918-1876.

What is Dr. Sally Pediatrics's specialty?

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

Does Dr. Sally Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2290203) is associated with this NPI, valid through September 20, 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 Dr. Sally Pediatrics was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.