LOS NINOS CHILDREN MEDICAL CLINIC INC.
NPI 1700115722
Pediatrics in West Covina, CA

Q: What is Los Ninos Children Medical Clinic Inc.'s specialty?

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

Active since December 22, 2009CLIA 05D0954764 · Waiver

409 E MERCED AVE, SUITE A, WEST COVINA, CA 91790(626) 931-0901(626) 931-0905 Get Directions Write a Review

NPPES record last updated: December 22, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Los Ninos Children Medical Clinic Inc. NPPES

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

LOS NINOS CHILDREN MEDICAL CLINIC INC. (NPI 1700115722) is a healthcare organization registered as a pediatrics in West Covina, California and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Emil R Dominguez, President, as its authorized official.

NPPES Registry Identity

NPI1700115722

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameLOS NINOS CHILDREN MEDICAL CLINIC INC.

Location Address409 E MERCED AVE, SUITE AWest Covina, CA 91790-5061

Mailing Address409 E Merced Ave, Suite AWest Covina, CA 91790-5061 · (626) 931-0901 · Fax (626) 931-0905

Phone(626) 931-0901

Fax(626) 931-0905

Organization SubpartNo

Authorized OfficialEmil R DominguezPresident · (626) 850-5005

Enumeration DateDecember 22, 2009

✔ NPI 1700115722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A43966

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.

409 E MERCED AVE, West Covina, CA 91790

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Other Identifiers 1

Medicaid00A439660CA

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 05D0954764

Los Ninos Childrens Medical Clinic · West Covina, CA

Active · expires Dec 7, 2026

CLIA Number05D0954764

Laboratory TypePhysician Office

Certificate Effective DateDecember 8, 2024

Certificate Expiration DateDecember 7, 2026

Laboratory DirectorEmil R. Dominguez MD

Laboratory Phone(626) 931-0901

Laboratory LocationLos Ninos Childrens Medical Clinic409 E Merced Avenue, Suite A, West Covina, CA 91790

CLIA data matches this NPI record on: Address 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.

MR. EMIL R DOMINGUEZ JR. M.D

Pediatrics

409 E MERCED AVE, SUITE #A
WEST COVINA, CA 91790

Los Angeles County (626) 931-0901

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 Los Ninos Children Medical Clinic Inc.'s NPI number?

The NPI number for Los Ninos Children Medical Clinic Inc. is 1700115722. It was assigned to this organization in the NPPES registry on December 22, 2009.

Where is Los Ninos Children Medical Clinic Inc. located?

Los Ninos Children Medical Clinic Inc. is located at 409 E Merced Ave Suite A, West Covina, CA 91790. The listed phone number is (626) 931-0901.

What is Los Ninos Children Medical Clinic Inc.'s specialty?

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

Does Los Ninos Children Medical Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0954764) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Los Ninos Children Medical Clinic Inc. was last updated on December 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.