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SOUTH PASADENA PEDIATRICS, A PROFESSIONAL CORPORATION
NPI 1750181236
Pediatrics in South Pasadena, CA

Active since March 14, 2025CLIA 05D2324671 · Waiver
1941 HUNTINGTON DR STE C, SOUTH PASADENA, CA 91030(626) 514-0315 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2025, Mar 15, 2025 (2 updates tracked since 2025).

About South Pasadena Pediatrics, A Professional Corporation NPPES

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

SOUTH PASADENA PEDIATRICS, A PROFESSIONAL CORPORATION (NPI 1750181236), doing business as South Pasadena Pediatrics, is a healthcare organization registered as a pediatrics in South Pasadena, California and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through May 28, 2027 and lists Sandra Gildersleeve, Founder, as its authorized official.

NPPES Registry Identity

NPI1750181236
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH PASADENA PEDIATRICS, A PROFESSIONAL CORPORATION
Location Address1941 HUNTINGTON DR STE CSouth Pasadena, CA 91030-4994
Mailing Address1941 Huntington Dr Ste CSouth Pasadena, CA 91030-4994 · (626) 514-0315
Phone(626) 514-0315
Organization SubpartNo
Authorized OfficialSandra GildersleeveFounder · (626) 514-0315
Enumeration DateMarch 14, 2025
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1750181236 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.
1941 HUNTINGTON DR STE C, South Pasadena, CA 91030
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Other Names 1

Doing Business AsSouth Pasadena Pediatrics

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 05D2324671

South Pasadena Pediatrics, A Professional Corporation · South Pasadena, CA
Active · expires May 28, 2027
CLIA Number05D2324671
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorSandra S. Gildersleeve
Laboratory Phone(626) 514-0315
Laboratory LocationSouth Pasadena Pediatrics, A Professional Corporation1941 Huntington Drive, Suite C, South Pasadena, CA 91030
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 3

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

MS. MY BICH TRUONG NP
Nurse Practitioner (Family)
1941 HUNTINGTON DR STE C
SOUTH PASADENA, CA 91030
Los Angeles County (626) 799-7127
HEMANT UPADHYAYA, M.D. INC.
Pediatrics
1941 HUNTINGTON DR STE C
SOUTH PASADENA, CA 91030
Los Angeles County (626) 799-7127
SANDRA GILDERSLEEVE MD
Pediatrics
1941 HUNTINGTON DR STE C
SOUTH PASADENA, CA 91030
Los Angeles County (626) 514-0315

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 South Pasadena Pediatrics, A Professional Corporation's NPI number?

The NPI number for South Pasadena Pediatrics, A Professional Corporation is 1750181236. It was assigned to this organization in the NPPES registry on March 14, 2025. The provider is doing business as South Pasadena Pediatrics.

Where is South Pasadena Pediatrics, A Professional Corporation located?

South Pasadena Pediatrics, A Professional Corporation is located at 1941 Huntington Dr Ste C, South Pasadena, CA 91030. The listed phone number is (626) 514-0315.

What is South Pasadena Pediatrics, A Professional Corporation's specialty?

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

Does South Pasadena Pediatrics, A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2324671) is associated with this NPI, valid through May 28, 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 South Pasadena Pediatrics, A Professional Corporation was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.