SAN MICHAEL PEDIATRICS INC
NPI 1821292012
Clinic/Center - Primary Care in Bakersfield, CA

Active since June 12, 2007CLIA 05D1069541 · Waiver
3612 COFFEE RD STE C, BAKERSFIELD, CA 93308(661) 587-6464 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Michael Pediatrics Inc NPPES

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

SAN MICHAEL PEDIATRICS INC (NPI 1821292012) is a healthcare organization registered as a primary care in Bakersfield, California and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Emad Farid Shafic, Officer, as its authorized official.

NPPES Registry Identity

NPI1821292012
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSAN MICHAEL PEDIATRICS INC
Location Address3612 COFFEE RD STE CBakersfield, CA 93308-5027
Mailing Address3612 Coffee Rd Ste CBakersfield, CA 93308-5027 · (661) 587-6464
Organization SubpartNo
Authorized OfficialEmad Farid ShaficOfficer · (661) 587-6464
Enumeration DateJune 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1821292012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · A84684
3612 COFFEE RD STE C, Bakersfield, CA 93308

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 05D1069541

San Michael Pediatrics Inc · Bakersfield, CA
Active · expires Jun 6, 2027
CLIA Number05D1069541
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorEmad F. Shafic MD
Laboratory Phone(661) 587-6464
Laboratory LocationSan Michael Pediatrics Inc3015 Calloway Dr Ste 12, Bakersfield, CA 93312
CLIA data matches this NPI record on: Name 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.

Clinical Medical Laboratory
3612 COFFEE RD STE C
BAKERSFIELD, CA 93308

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 Michael Pediatrics Inc's NPI number?

The NPI number for San Michael Pediatrics Inc is 1821292012. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is San Michael Pediatrics Inc located?

San Michael Pediatrics Inc is located at 3612 Coffee Rd Ste C, Bakersfield, CA 93308. The listed phone number is (661) 587-6464.

What is San Michael Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does San Michael Pediatrics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1069541) is associated with this NPI, valid through June 6, 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 Michael Pediatrics 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.