SAN DIEGO UPTOWN PEDIATRIC MEDICAL GROUP, INC - NPI 1700342748

Q: What is San Diego Uptown Pediatric Medical Group, Inc's specialty?

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

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About San Diego Uptown Pediatric Medical Group, Inc NPPES

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

SAN DIEGO UPTOWN PEDIATRIC MEDICAL GROUP, INC (NPI 1700342748) is a healthcare organization registered as a pediatrics in San Diego, California and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists Hilary Krause, Physician/co-president, as its authorized official.

NPPES Registry Identity

NPI1700342748

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSAN DIEGO UPTOWN PEDIATRIC MEDICAL GROUP, INC

Location Address3500 FIFTH AVE STE 101San Diego, CA 92103-5020

Mailing Address3500 Fifth Ave Ste 101San Diego, CA 92103-5020 · (619) 295-3911 · Fax (619) 295-4356

Phone(619) 295-3911

Fax(619) 295-4356

Organization SubpartNo

Authorized OfficialHilary KrausePhysician/co-president · (619) 295-3911

Enumeration DateFebruary 14, 2019

✔ NPI 1700342748 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.

3500 FIFTH AVE STE 101, San Diego, CA 92103

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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 05D2176994

San Diego Uptown Pediatrics Medical Group, Inc · San Diego, CA

Active · expires Dec 30, 2027

CLIA Number05D2176994

Laboratory TypePhysician Office

Certificate Effective DateDecember 31, 2025

Certificate Expiration DateDecember 30, 2027

Laboratory DirectorHilary B. Krause

Laboratory Phone(619) 295-3911

Laboratory LocationSan Diego Uptown Pediatrics Medical Group, Inc3500 5th Avenue Suite 101, San Diego, CA 92103

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 2

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

KAIVAN DADACHANJI

Pediatrics

3500 FIFTH AVE STE 101
SAN DIEGO, CA 92103

San Diego County (619) 295-3911

DR. JENNY T CLIFFORD M.D.

Pediatrics

3500 FIFTH AVE STE 101
SAN DIEGO, CA 92103

San Diego County (619) 295-3911

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 San Diego Uptown Pediatric Medical Group, Inc's NPI number?

The NPI number for San Diego Uptown Pediatric Medical Group, Inc is 1700342748. It was assigned to this organization in the NPPES registry on February 14, 2019.

Where is San Diego Uptown Pediatric Medical Group, Inc located?

San Diego Uptown Pediatric Medical Group, Inc is located at 3500 Fifth Ave Ste 101, San Diego, CA 92103. The listed phone number is (619) 295-3911.

What is San Diego Uptown Pediatric Medical Group, Inc's specialty?

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

Does San Diego Uptown Pediatric Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2176994) is associated with this NPI, valid through December 30, 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 San Diego Uptown Pediatric Medical Group, Inc was last updated on February 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.