KESANAPALLI PEDIATRICS PROFESSIONAL MEDICAL CORPORATION
NPI 1780841841
Pediatrics in San Diego, CA

Active since May 16, 2008CLIA 05D0865606 · Waiver
7910 FROST STREET, SUITE 335, SAN DIEGO, CA 92123(858) 576-8010(858) 576-7391 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2024, May 6, 2024 (2 updates tracked since 2024).

About Kesanapalli Pediatrics Professional Medical Corporation NPPES

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

KESANAPALLI PEDIATRICS PROFESSIONAL MEDICAL CORPORATION (NPI 1780841841), doing business as Jacobson Pediatrics, is a healthcare organization registered as a pediatrics in San Diego, California and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Deepthi Kesanapalli, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780841841
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKESANAPALLI PEDIATRICS PROFESSIONAL MEDICAL CORPORATION
Location Address7910 FROST STREET, SUITE 335San Diego, CA 92123-2771
Mailing Address7910 Frost Street, Suite 335San Diego, CA 92123-2771 · (858) 576-8010 · Fax (858) 576-7391
Fax(858) 576-7391
Organization SubpartNo
Authorized OfficialDeepthi KesanapalliCeo · (858) 576-8010
Enumeration DateMay 16, 2008
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1780841841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A56064
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.

7910 FROST STREET, San Diego, CA 92123

Other Names 2

Former Legal Business NameJacobson Pediatrics
Doing Business AsBright Pediatrics

Other Identifiers 2

MedicaidA560640CA
OtherZZZ01416ZCA · Blue Shield

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 05D0865606

Jacobson Pediatrics Professional Medical Corporation · San Diego, CA
Active · expires Mar 19, 2027
CLIA Number05D0865606
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorEugenia U. Jacobson, MD
Laboratory Phone(858) 576-8010
Laboratory LocationJacobson Pediatrics Professional Medical Corporation7910 Frost Street Ste 335, San Diego, CA 92123
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 14

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

Pediatrics (Adolescent Medicine)
7910 FROST STREET, STE 350
SAN DIEGO, CA 92123
Internal Medicine (Pulmonary Disease)
7910 FROST STREET, SUITE 245
SAN DIEGO, CA 92123
Nurse Practitioner (Women's Health)
7910 FROST STREET, SUITE 400
SAN DIEGO, CA 92123
Internal Medicine (Critical Care Medicine)
7910 FROST STREET, SUITE 245
SAN DIEGO, CA 92123
Internal Medicine (Pulmonary Disease)
7910 FROST STREET, SUITE 245
SAN DIEGO, CA 92123
Internal Medicine (Pulmonary Disease)
7910 FROST STREET, SUITE 245
SAN DIEGO, CA 92123
Internal Medicine (Critical Care Medicine)
7910 FROST STREET, SUITE 245
SAN DIEGO, CA 92123
Obstetrics & Gynecology (Maternal & Fetal Medicine)
7910 FROST STREET
SAN DIEGO, CA 92123

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 Kesanapalli Pediatrics Professional Medical Corporation's NPI number?

The NPI number for Kesanapalli Pediatrics Professional Medical Corporation is 1780841841. It was assigned to this organization in the NPPES registry on May 16, 2008. The provider is doing business as Bright Pediatrics. The provider was formerly known as Jacobson Pediatrics.

Where is Kesanapalli Pediatrics Professional Medical Corporation located?

Kesanapalli Pediatrics Professional Medical Corporation is located at 7910 Frost Street Suite 335, San Diego, CA 92123. The listed phone number is (858) 576-8010.

What is Kesanapalli Pediatrics Professional Medical Corporation's specialty?

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

Does Kesanapalli Pediatrics Professional Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0865606) is associated with this NPI, valid through March 19, 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 Kesanapalli Pediatrics Professional Medical Corporation was last updated on September 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.