1. Home
  2. Directory
  3. California
  4. Encino
  5. Pediatrics
  6. NPI Profile

VALLEY PEDIATRIC MEDICAL GROUP,INC.
NPI 1790858124
Pediatrics - Adolescent Medicine in Encino, CA

Active since November 15, 2006CLIA 05D0561202 · Waiver
5353 BALBOA BLVD, SUITE 104, ENCINO, CA 91316(818) 789-7181(818) 986-8322 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Valley Pediatric Medical Group,inc. NPPES

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

VALLEY PEDIATRIC MEDICAL GROUP,INC. (NPI 1790858124) is a healthcare organization registered as an adolescent medicine in Encino, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Karyn Young, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1790858124
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameVALLEY PEDIATRIC MEDICAL GROUP,INC.
Location Address5353 BALBOA BLVD, SUITE 104Encino, CA 91316-2804
Mailing Address5353 Balboa Blvd, Suite 104Encino, CA 91316-2804 · (818) 789-7181 · Fax (818) 986-8322
Phone(818) 789-7181
Fax(818) 986-8322
Organization SubpartNo
Authorized OfficialKaryn YoungCredentialing Manager · (818) 789-7181
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790858124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
5353 BALBOA BLVD, Encino, CA 91316
Open in Google Maps ↗

Other Names 1

Doing Business AsValley Pediatric Medical Group,inc.

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 05D0561202

Valley Pediatric Medical Group, Inc · Encino, CA
Active · expires Mar 24, 2028
CLIA Number05D0561202
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDr. Peter Shulman
Laboratory Phone(818) 789-7181
Laboratory LocationValley Pediatric Medical Group, Inc5353 Balboa Blvd Ste 104 Attn Deana Cook, Encino, CA 91316
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 20

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

VALUERX INC
Pharmacy (Community/Retail Pharmacy)
5353 BALBOA BLVD
ENCINO, CA 91316
Los Angeles County (818) 788-5810
DR. PETER REES SHULMAN M.D.
Pediatrics (Adolescent Medicine)
5353 BALBOA BLVD, SUITE 104
ENCINO, CA 91316
Los Angeles County (818) 789-7181
ENCINO ANESTHESIA ASSOCIATES INC
Anesthesiology
5353 BALBOA BLVD, STE 300
ENCINO, CA 91316
Los Angeles County (818) 937-9969
DR. JOEL G. AUERBACH M.D.
Pediatrics
5353 BALBOA BLVD, #200
ENCINO, CA 91316
Los Angeles County (818) 461-9690
PRIME SURGICAL CENTER OF ENCINO, LLC
Clinic/Center (Ambulatory Surgical)
5353 BALBOA BLVD, SUITE 300
ENCINO, CA 91316
Los Angeles County (818) 937-9969
DR. RACHEL L. ESMOND M.D.
Pediatrics
5353 BALBOA BLVD, #200
ENCINO, CA 91316
Los Angeles County (818) 461-9690
BAHRAM HESHMATIPOUR
Acupuncturist
5353 BALBOA BLVD
ENCINO, CA 91316
Los Angeles County (818) 387-6565
STANLEY BLAKE GOLDENBERG BS PH FASCP
Pharmacist
5353 BALBOA BLVD
ENCINO, CA 91316
Los Angeles County (818) 788-2411

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 Valley Pediatric Medical Group,inc.'s NPI number?

The NPI number for Valley Pediatric Medical Group,inc. is 1790858124. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Valley Pediatric Medical Group,inc. located?

Valley Pediatric Medical Group,inc. is located at 5353 Balboa Blvd Suite 104, Encino, CA 91316. The listed phone number is (818) 789-7181.

What is Valley Pediatric Medical Group,inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Valley Pediatric Medical Group,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0561202) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valley Pediatric Medical Group,inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.